Morgan Marie Dacosta, PT, DPT | |
522 N Center St, Thomaston, GA 30286-3695 | |
(706) 646-4371 | |
Not Available |
Full Name | Morgan Marie Dacosta |
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Gender | Female |
Speciality | Physical Therapist |
Location | 522 N Center St, Thomaston, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902374226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013758 (Georgia) | Primary |
Provider Name | Southern Rehab And Sports Medicine, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215167515 PECOS PAC ID: 4385790211 Enrollment ID: O20090918000076 |
Mailing Address | Practice Location Address |
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Morgan Marie Dacosta, PT, DPT 522 N Center St, Thomaston, GA 30286-3695 Ph: () - | Morgan Marie Dacosta, PT, DPT 522 N Center St, Thomaston, GA 30286-3695 Ph: (706) 646-4371 |
Mrs. Deborah Roberts Hopper, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 142 Crescent Rd, Thomaston, GA 30286 Phone: 770-550-1344 | |
Kathryn Gibbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 522 N Center St, Thomaston, GA 30286 Phone: 706-646-4371 Fax: 706-646-4372 | |
Dr. Ansleigh Jarrell Spell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 | |
Mr. Dannie Carroll Smith, PT, ECS Physical Therapist Medicare: Medicare Enrolled Practice Location: 42 Dogwood Trl, Thomaston, GA 30286 Phone: 706-647-6218 Fax: 706-647-3480 |