| Harrison Olinger, | |
|
6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 | |
| (228) 818-1200 | |
| Not Available |
| Full Name | Harrison Olinger |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6300 E Lake Blvd Ste 101, Vancleave, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952916637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6678 (Mississippi) | Primary |
| Provider Name | Performance Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Olinger, 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 Ph: (256) 350-1764 | Harrison Olinger, 6300 E Lake Blvd Ste 101, Vancleave, MS 39565-6771 Ph: (228) 818-1200 |
Jazmine J Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 | |
Leigh Chiasson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 | |
Danny Nguyen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13913 Virginia St, Vancleave, MS 39565 Phone: 228-282-9901 | |
Natalie Overstreet, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-818-1200 Fax: 228-818-1209 | |
Bienville Orthopaedic Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1192 | |
Dr. Jeremy Wooten, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 | |
Anil K Mangal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6300 E Lake Blvd Ste 101, Vancleave, MS 39565 Phone: 228-215-2240 Fax: 228-215-2241 |