| Hector Agustin Mallar, PT, DPT | |
|
233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 | |
| (404) 458-7169 | |
| Not Available |
| Full Name | Hector Agustin Mallar |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 233 Arnold Mill Rd Ste 300, Woodstock, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154997005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT014592 (Georgia) | Primary |
| Provider Name | Synapse Neurorehab And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679156863 PECOS PAC ID: 1355742917 Enrollment ID: O20210702001334 |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Agustin Mallar, PT, DPT 233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 Ph: (404) 458-7169 | Hector Agustin Mallar, PT, DPT 233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 Ph: (404) 458-7169 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Madeline Olson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6884 Hickory Flat Hwy, Woodstock, GA 30188 Phone: 770-704-8244 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |