Dalton Lee Russell, | |
8649 Highway 165 N Ste 5, Monroe, LA 71203-8965 | |
(318) 235-9326 | |
(318) 267-0131 |
Full Name | Dalton Lee Russell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 8649 Highway 165 N Ste 5, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891558789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11681 (Louisiana) | Primary |
Provider Name | Pt Partners, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912617994 PECOS PAC ID: 1557730462 Enrollment ID: O20221216000571 |
Mailing Address | Practice Location Address |
---|---|
Dalton Lee Russell, 324 Pulltight Rd, Oak Grove, LA 71263-9187 Ph: () - | Dalton Lee Russell, 8649 Highway 165 N Ste 5, Monroe, LA 71203-8965 Ph: (318) 235-9326 |
Angelle Gaunt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Cottonwood Dr, Monroe, LA 71201 Phone: 318-614-8929 Fax: 318-654-4359 | |
Mrs. Tara L Lasuzzo, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Mr. James Peyton Braswell, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1138 Oliver Rd, Monroe, LA 71201 Phone: 318-323-3031 | |
Alison L. Sanford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 Louisville Ave, Monroe, LA 71201 Phone: 318-807-1500 Fax: 318-807-1504 | |
Sterlington Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8649 Highway 165 N Ste 5, Monroe, LA 71203 Phone: 318-503-9789 Fax: 318-267-0131 | |
Ability Lifecare, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1123 Forsythe Ave, Monroe, LA 71201 Phone: 318-340-6300 | |
Courtney Dye, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1605 Stubbs Ave, Monroe, LA 71201 Phone: 318-388-8414 |