| Christopher Graham, | |
|
132 S 6th St, Ponchatoula, LA 70454-3317 | |
| (985) 386-6884 | |
| Not Available |
| Full Name | Christopher Graham |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 132 S 6th St, Ponchatoula, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962176644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 10959 (Louisiana) | Primary |
| Provider Name | Precision Physical Therapy & Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508526641 PECOS PAC ID: 9537552963 Enrollment ID: O20220208001949 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Graham, 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 386-6884 | Christopher Graham, 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 386-6884 |
Rachel Williams, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Mrs. Lisa Ann Howes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N 8th St, Ponchatoula, LA 70454 Phone: 985-386-4688 | |
Dr. Dustin Drewes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Beauregard St, Ponchatoula, LA 70454 Phone: 504-613-7662 | |
Lucas Quebedeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Mallory Kraft, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Mr. John David Wild Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Pine St, Ponchatoula, LA 70454 Phone: 985-634-1966 | |
Precision Physical Therapy & Sports Medicine Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 18539 Highway 22 Ste F, Ponchatoula, LA 70454 Phone: 985-634-8322 |