Individual ProviderMyriam LoudermilkOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3935 Medical Dr, San Antonio, TX 78229-2102(210) 882-7986PECOS EnrollmentBased on the most recent information from CMS, provider Myriam Loudermilk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1952865560Provider TypeIndividualFull NameLoudermilk, MyriamCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date1/28/2019Last Updated1/28/2019Contact InformationPractice LocationPractice Address3935 Medical Dr, San Antonio, TX 78229-2102Phone(210) 882-7986FaxUnlisted FaxMailing LocationMailing Address5234 Sagail Pl, San Antonio, TX 78249-1798Phone(210) 882-7986FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense107286Texas