Jacob Richard Vanhouten, PT, DPT | |
1187 N Mecklenburg Ave, La Crosse, VA 23950-1768 | |
(434) 447-3322 | |
Not Available |
Full Name | Jacob Richard Vanhouten |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1187 N Mecklenburg Ave, La Crosse, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316561897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20221012004094 |
Mailing Address | Practice Location Address |
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Jacob Richard Vanhouten, PT, DPT 117 Brookside Ln, South Hill, VA 23970-2426 Ph: () - | Jacob Richard Vanhouten, PT, DPT 1187 N Mecklenburg Ave, La Crosse, VA 23950-1768 Ph: (434) 447-3322 |
Dr. John Watson Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1755 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3151 | |
Mr. Chirag Y Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 | |
Dr. Harrison Neal Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 | |
Mr. Roger Karl Myers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 Fax: 434-447-3282 |