Gabrielle Lauderdale, DPT | |
348 Cooley St Unit 10, Springfield, MA 01128-1144 | |
(413) 355-5700 | |
Not Available |
Full Name | Gabrielle Lauderdale |
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Gender | Female |
Speciality | Physical Therapist |
Location | 348 Cooley St Unit 10, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447961776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT016380 (Georgia) | Secondary |
225100000X | Physical Therapist | PTL81055 (Massachusetts) | Primary |
Provider Name | Emory Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
Mailing Address | Practice Location Address |
---|---|
Gabrielle Lauderdale, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Gabrielle Lauderdale, DPT 348 Cooley St Unit 10, Springfield, MA 01128-1144 Ph: (413) 355-5700 |
Mrs. Diana Mary Kenney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 State St, Springfield, MA 01109 Phone: 413-205-3442 Fax: 413-205-3957 | |
Stephen Stratton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Birnie Ave, Springfield, MA 01107 Phone: 413-233-1270 Fax: 413-736-9699 | |
Sara M Strzempek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3550 Main St, Suite 102, Springfield, MA 01107 Phone: 413-734-8801 | |
Stacey Sirotta, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Zbigniew Paluch, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Longhill St, Springfield, MA 01108 Phone: 413-739-0040 | |
Carol Boucek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 William St, Springfield, MA 01105 Phone: 413-788-2171 | |
Kate E Callahan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3377 Main St, Springfield, MA 01107 Phone: 413-734-5661 |