| Mrs Carol Ann Collica, PT | |
|
444 Park West Drive, Grovetown, GA 30813 | |
| (706) 868-6543 | |
| (706) 868-9579 |
| Full Name | Mrs Carol Ann Collica |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 444 Park West Drive, Grovetown, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194898825 | NPI | - | NPPES |
| 617152988A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004494 (Georgia) | Primary |
| 225100000X | Physical Therapist | 2753 (South Carolina) | Secondary |
| Provider Name | Augusta Developmental Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932487691 PECOS PAC ID: 3476717042 Enrollment ID: O20120611000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carol Ann Collica, PT 483 Old Walnut Br, North Augusta, SC 29860-8662 Ph: (803) 441-8291 | Mrs Carol Ann Collica, PT 444 Park West Drive, Grovetown, GA 30813 Ph: (706) 868-6543 |
Dr. Kara Christine Curtis, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4039 Gateway Blvd, Suite 102, Grovetown, GA 30813 Phone: 706-210-9534 | |
Analise Lauren Richtsmeier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 Fax: 706-945-0288 | |
James Austin Boyd, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 | |
Total Rehab Solution, Llc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4122 Nicoles Lane, Grovetown, GA 30813 Phone: 706-825-8056 Fax: 678-737-1239 | |
Mr. Gabriel Steven Takacs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 | |
Jalesa Wright-prince, Physical Therapist Medicare: Medicare Enrolled Practice Location: 419 Lewiston Rd Ste 3, Grovetown, GA 30813 Phone: 706-945-0420 |