Lillian Thalken, DPT | |
600 W North Blvd Ste D, Leesburg, FL 34748-5000 | |
(352) 787-9300 | |
(352) 728-6636 |
Full Name | Lillian Thalken |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 600 W North Blvd Ste D, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962171694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTT37750 (Florida) | Secondary |
225100000X | Physical Therapist | PT37750 (Florida) | Primary |
Provider Name | Florida Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
Mailing Address | Practice Location Address |
---|---|
Lillian Thalken, DPT 600 W North Blvd Ste D, Leesburg, FL 34748-5000 Ph: (352) 787-9300 | Lillian Thalken, DPT 600 W North Blvd Ste D, Leesburg, FL 34748-5000 Ph: (352) 787-9300 |
Mr. Brian Lewis Mundy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26540 Ace Ave, Ste B, Leesburg, FL 34748 Phone: 352-314-9810 Fax: 352-314-9878 | |
Reese Buckhalter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd Ste D, Leesburg, FL 34748 Phone: 352-728-6636 | |
Travis Ammons, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Lake St, Leesburg, FL 34748 Phone: 352-314-9300 Fax: 352-787-4977 | |
Mr. Jesrael T Rodriguez Sr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Lake Port Blvd, Leesburg, FL 34748 Phone: 352-728-3366 | |
Karen Palma Lumpay, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Lake Port Blvd, Leesburg, FL 34748 Phone: 352-728-3366 | |
Ms. Tammie Lynn Stone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd, Suite D, Leesburg, FL 34748 Phone: 352-787-9300 Fax: 352-787-4522 | |
Kathy Riherd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 W North Blvd, Suite D, Leesburg, FL 34748 Phone: 352-787-9300 |