| Owen Gillam, | |
|
3061 State Route 28, Herkimer, NY 13350-1041 | |
| (315) 717-0020 | |
| Not Available |
| Full Name | Owen Gillam |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 3061 State Route 28, Herkimer, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508413469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41539 (Florida) | Primary |
| Provider Name | Florida Luna Care Physical Therapy LLC |
|---|---|
| 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 |
|---|---|
| Owen Gillam, 3061 State Route 28, Herkimer, NY 13350-1041 Ph: Not Available | Owen Gillam, 3061 State Route 28, Herkimer, NY 13350-1041 Ph: (315) 717-0020 |
Blase Thomas Pachura, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 |
Shawna Marmet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 |
Sheila M Burth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 419 N Main St, Herkimer, NY 13350 Phone: 315-717-0278 Fax: 315-717-0280 |
Jared Tripoli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0022 Fax: 315-717-0024 |
Rebekah Jean Sirtoli White, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |
Daniel N Curri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 N Main St, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |
Tom Woznica, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3061 State Route 28, Herkimer, NY 13350 Phone: 315-717-0020 Fax: 315-717-0024 |