Noah Hartline, | |
235 Fairburn Ave, Benton, LA 71006-3502 | |
(318) 935-9075 | |
(318) 935-9076 |
Full Name | Noah Hartline |
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Gender | Male |
Speciality | Physical Therapist |
Location | 235 Fairburn Ave, Benton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972316131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11964 (Louisiana) | Primary |
Provider Name | Benton Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972013969 PECOS PAC ID: 2769740737 Enrollment ID: O20171220002369 |
Mailing Address | Practice Location Address |
---|---|
Noah Hartline, 235 Fairburn Ave, Benton, LA 71006-3502 Ph: (318) 935-9075 | Noah Hartline, 235 Fairburn Ave, Benton, LA 71006-3502 Ph: (318) 935-9075 |
Richard Dale Mcphearson, DPT,MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 Fairburn Ave, Benton, LA 71006 Phone: 318-935-9075 Fax: 318-935-9076 | |
Taylor Mccarty, Physical Therapist Medicare: Medicare Enrolled Practice Location: 185 Burt Blvd Ste B, Benton, LA 71006 Phone: 318-935-9075 | |
Rolling Rehab Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Hunt Rd, Benton, LA 71006 Phone: 318-230-2537 | |
Mrs. Shanna D. Johnson, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Hunt Rd, Benton, LA 71006 Phone: 318-230-2537 Fax: 318-965-4466 |