Jared Thomas, | |
1174 Union Mill Rd, La Crosse, VA 23950-1518 | |
(866) 370-8206 | |
Not Available |
Full Name | Jared Thomas |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1174 Union Mill Rd, 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 |
---|---|---|---|
1982483384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ati Holdings Of Arizona Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
Mailing Address | Practice Location Address |
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Jared Thomas, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jared Thomas, 1174 Union Mill Rd, La Crosse, VA 23950-1518 Ph: (866) 370-8206 |
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 | |
Jacob Richard Vanhouten, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1187 N Mecklenburg Ave, La Crosse, VA 23950 Phone: 434-447-3322 | |
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 |