| Dianna M Boclair, PT, DPT, GCS | |
|
1312 Astley Ter, Midlothian, VA 23114-4506 | |
| (804) 651-1170 | |
| (610) 335-4443 |
| Full Name | Dianna M Boclair |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1312 Astley Ter, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821037789 | NPI | - | NPPES |
| 2305005496 | Other | VA | PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305005496 (Virginia) | Primary |
| Provider Name | Powerback Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871241414 PECOS PAC ID: 2365359932 Enrollment ID: O20220622001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianna M Boclair, PT, DPT, GCS 1312 Astley Ter, Midlothian, VA 23114-4506 Ph: (804) 651-1170 | Dianna M Boclair, PT, DPT, GCS 1312 Astley Ter, Midlothian, VA 23114-4506 Ph: (804) 651-1170 |
Danielle Nunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2925 Polo Pkwy, Midlothian, VA 23113 Phone: 804-794-7587 Fax: 804-794-4560 |
Rebecca V Mannion, P.T., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9421 Gum Fork Rd, Midlothian, VA 23112 Phone: 804-314-6588 Fax: 804-639-4801 |
Kathryn Marie Logsdon, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2900 Calcutt Drive, Midlothian, VA 23113 Phone: 804-201-5175 |
Lori H Atkinson, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11621 Robious Rd, Midlothian, VA 23113 Phone: 804-794-7587 Fax: 804-794-4560 |
Rachel Rand Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 Watkins Centre Pkwy Ste 300, Midlothian, VA 23114 Phone: 804-325-8822 Fax: 804-794-3986 |
Michael Blake, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2925 Polo Pkwy, Midlothian, VA 23113 Phone: 804-794-7587 Fax: 804-794-4560 |
Caitlin Wynings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 200, Midlothian, VA 23114 Phone: 804-915-1910 |