| Flint River Physical Therapy Llc | |
|
130 E Broad St, Camilla, GA 31730-1809 | |
| (229) 336-1115 | |
| (229) 336-1151 |
| Full Name | Flint River Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 130 E Broad St, Camilla, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164491015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Donald C Brunelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962471953 PECOS PAC ID: 0648179077 Enrollment ID: I20040108000101 |
| Provider Name | Melissa M Laye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922330356 PECOS PAC ID: 5294864542 Enrollment ID: I20100525000179 |
| Provider Name | Robert Andrew Askey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801464045 PECOS PAC ID: 8527460005 Enrollment ID: I20210706002975 |
| Provider Name | Trevor D Broyles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043985336 PECOS PAC ID: 3072911916 Enrollment ID: I20211007002172 |
| Provider Name | Laura Brennan O'lannerghty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093239477 PECOS PAC ID: 5193099646 Enrollment ID: I20240509001430 |
| Mailing Address | Practice Location Address |
|---|---|
| Flint River Physical Therapy Llc Po Box 632654, Cincinnati, OH 45263-2654 Ph: (702) 818-5000 | Flint River Physical Therapy Llc 130 E Broad St, Camilla, GA 31730-1809 Ph: (229) 336-1115 |