| Ebunoluwa Abodunrin Ogunola, PHYSICAL THERAPIST | |
|
3020 E Broad St Ste 112, Mansfield, TX 76063-6696 | |
| (682) 422-7580 | |
| Not Available |
| Full Name | Ebunoluwa Abodunrin Ogunola |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3020 E Broad St Ste 112, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902536279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1360654 (Texas) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Ebunoluwa Abodunrin Ogunola, PHYSICAL THERAPIST 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Ebunoluwa Abodunrin Ogunola, PHYSICAL THERAPIST 3020 E Broad St Ste 112, Mansfield, TX 76063-6696 Ph: (682) 422-7580 |
Tan Ta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3020 E Broad St Ste 112, Mansfield, TX 76063 Phone: 682-422-7580 | |
Graham Easom, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 817-483-1746 | |
Carol A Bickers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 877-385-4264 | |
Ian Petri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 | |
Christina Trovela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1748 E Broad St, Suite 120, Mansfield, TX 76063 Phone: 817-477-4567 Fax: 817-477-4591 | |
Karen Raye Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2851 Matlock Rd Ste 600, Mansfield, TX 76063 Phone: 817-473-6246 Fax: 817-473-2014 | |
Aubrey Starnes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2771 E Broad St Ste 211, Mansfield, TX 76063 Phone: 682-518-6263 |