Lakee'dra Charmane Cooper, PT, DPT | |
504 Everett St, St Simons Is, GA 31522-4605 | |
(866) 839-6979 | |
Not Available |
Full Name | Lakee'dra Charmane Cooper |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 504 Everett St, St Simons Is, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801598206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 015435 (Georgia) | Primary |
Provider Name | Emory Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
Provider Name | Georgia Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
Mailing Address | Practice Location Address |
---|---|
Lakee'dra Charmane Cooper, PT, DPT 1327 Adams Lake Blvd Se, Atlanta, GA 30339-3388 Ph: (404) 205-9952 | Lakee'dra Charmane Cooper, PT, DPT 504 Everett St, St Simons Is, GA 31522-4605 Ph: (866) 839-6979 |
David Terrell Stahler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 Retreat Vlg, St Simons Is, GA 31522 Phone: 912-638-1444 | |
Georgia Luna Care Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 877-839-6979 | |
Trinity Martin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Julia Anne Casey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Khadesha Quammie, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 | |
Kay Strong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 504 Everett St, St Simons Is, GA 31522 Phone: 866-839-6979 Fax: 916-913-5646 | |
Kari E. Kizzire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 Retreat Vlg, St Simons Is, GA 31522 Phone: 912-638-1444 Fax: 912-638-0077 |