Philip A Laurence, PT, DPT, CSCS, TSAC | |
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
(210) 292-5040 | |
Not Available |
Full Name | Philip A Laurence |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972386522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT40327 (Florida) | Primary |
Provider Name | Force Physical Therapy Davie Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811362817 PECOS PAC ID: 6406133560 Enrollment ID: O20170427002619 |
Mailing Address | Practice Location Address |
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Philip A Laurence, PT, DPT, CSCS, TSAC 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-5040 | Philip A Laurence, PT, DPT, CSCS, TSAC 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-5040 |
Dr. Jared Philip Bueche, PT, DPT, OCS, FAAOMP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Ramiro Alexander Garrido, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7964 | |
Gillian Marie Harper, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Dr. Kassidy M Kusak, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-566-9995 | |
Mr. Jeremiah Yanga Samson, PT, MSPT, OCS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-5040 | |
Allison Shea Gonzales, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 | |
Kyle Petrey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 847-274-2794 |