| Brandon De La Garza, | |
|
800 Shenandoah Ave Ste 140, Elkton, VA 22827-3060 | |
| (540) 298-4749 | |
| Not Available |
| Full Name | Brandon De La Garza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 800 Shenandoah Ave Ste 140, Elkton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063296036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Drayer Pt Of Va Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831514637 PECOS PAC ID: 5597989699 Enrollment ID: O20140611001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon De La Garza, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 558-0076 | Brandon De La Garza, 800 Shenandoah Ave Ste 140, Elkton, VA 22827-3060 Ph: (540) 298-4749 |
Stacie Wood, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Shenandoah Ave Ste 140, Elkton, VA 22827 Phone: 540-298-4749 | |
Drayer Physical Therapy Institute, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Shen Elk Plz, Elkton, VA 22827 Phone: 540-298-4749 Fax: 540-298-4570 | |
Mitchell Crenshaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Shenandoah Ave Ste 140, Elkton, VA 22827 Phone: 540-298-4749 | |
Hugh Russell Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Shen Elk Plz, Elkton, VA 22827 Phone: 540-298-4749 Fax: 540-398-4570 | |
Patrick B Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Shenandoah Ave, Suite 140, Elkton, VA 22827 Phone: 540-298-4749 Fax: 540-298-4570 | |
Alannah Seidler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 Shenandoah Ave Ste 140, Elkton, VA 22827 Phone: 540-298-4749 |