| Corrine Celeste Bolles, PT, DPT | |
|
6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 | |
| (678) 418-8072 | |
| (678) 418-8072 |
| Full Name | Corrine Celeste Bolles |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 6000 Hillandale Dr Ste 145, Lithonia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245899723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT013981 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dekalb Comprehensive Physical Therapy Limited Partnership | 8325059504 | 4 |
| Provider Name | Decatur Hand And Physical Therapy Specialists Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174538607 PECOS PAC ID: 3971529256 Enrollment ID: O20051017000102 |
| Provider Name | Dekalb Comprehensive Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831136951 PECOS PAC ID: 8325059504 Enrollment ID: O20060601000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Corrine Celeste Bolles, PT, DPT 6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 Ph: (678) 418-8072 | Corrine Celeste Bolles, PT, DPT 6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 Ph: (678) 418-8072 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Alfred Alexis Balleza Miranda, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 |