| Chanda Henning-cole, | |
|
205 Vienna Cove, Stockbridge, GA 30281-7127 | |
| (404) 668-4509 | |
| Not Available |
| Full Name | Chanda Henning-cole |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 205 Vienna Cove, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316392681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 007603 (Georgia) | Primary |
| Provider Name | Holistic Occupational And Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952779043 PECOS PAC ID: 8628379997 Enrollment ID: O20151211000710 |
| Provider Name | Matrix Rehabilitation-georgia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659302966 PECOS PAC ID: 2567379498 Enrollment ID: O20180523002002 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda Henning-cole, 5835 Campbellton Rd Sw, Ste 304, Atlanta, GA 30331-8014 Ph: (404) 668-4509 | Chanda Henning-cole, 205 Vienna Cove, Stockbridge, GA 30281-7127 Ph: (404) 668-4509 |
Clarissa Michel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1060 Eagles Landing Pkwy Ste 130, Stockbridge, GA 30281 Phone: 470-369-5770 Fax: 470-369-5771 | |
Tyleka Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 199 Medical Blvd, Stockbridge, GA 30281 Phone: 470-781-9440 | |
Mr. Thomas Allen Pace, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-898-9993 Fax: 770-898-9983 | |
Atlanta South Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 Eagles Landing Pkwy, Suite A, Stockbridge, GA 30281 Phone: 678-289-0525 Fax: 678-289-0529 | |
Performance Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 909 Eagles Landing Pkwy Ste 430, Stockbridge, GA 30281 Phone: 770-506-6993 Fax: 770-506-6994 | |
Carrie Ferguson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 N Park Pl, Suite 250, Stockbridge, GA 30281 Phone: 678-289-4418 | |
David Sahid Gunn, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 240 Medical Blvd, Stockbridge, GA 30281 Phone: 678-595-9207 |