| Miss Angela Koulax, PT | |
|
319a Southbridge St, Auburn, MA 01501-2598 | |
| (508) 832-2628 | |
| Not Available |
| Full Name | Miss Angela Koulax |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 319a Southbridge St, Auburn, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295707271 | NPI | - | NPPES |
| 469807 | Other | MA | TUFTS |
| Y68023 | Other | MA | BLUE SHIELD |
| 57018 | Other | MA | FALLON |
| 0398632 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15702 (Massachusetts) | Primary |
| Provider Name | Greendale Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053316182 PECOS PAC ID: 9133013691 Enrollment ID: O20080128000388 |
| Provider Name | Whole Beauty And Health Acupuncture |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518400894 PECOS PAC ID: 9537575956 Enrollment ID: O20210310001340 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Angela Koulax, PT 319a Southbridge St, Auburn, MA 01501-2598 Ph: (508) 832-2628 | Miss Angela Koulax, PT 319a Southbridge St, Auburn, MA 01501-2598 Ph: (508) 832-2628 |
Nicholas Cebula, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0100 | |
Rachelle Jenkins, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0000 | |
Kristin Meloni, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Grant Pattee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St, Suite 200, Auburn, MA 01501 Phone: 508-721-0000 Fax: 508-721-0100 | |
Madeleine Margaret Story, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 489 Washington St Ste 200, Auburn, MA 01501 Phone: 774-696-8309 Fax: 508-721-0100 | |
Ms. Laurie A Borriello, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 319a Southbridge St, Auburn, MA 01501 Phone: 508-832-2628 |