| Sudha Samu, PHYSICAL THERAPIST | |
|
83825 Highway 9, Ashland, AL 36251-7981 | |
| (256) 354-1195 | |
| (256) 354-1294 |
| Full Name | Sudha Samu |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 83825 Highway 9, Ashland, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659979235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15326 (North Carolina) | Secondary |
| 225100000X | Physical Therapist | PTH7403 (Alabama) | Primary |
| Provider Name | Fox Rehab Pt Al Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962128488 PECOS PAC ID: 6002287802 Enrollment ID: O20230113000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Sudha Samu, PHYSICAL THERAPIST Po Box 1270, Ashland, AL 36251-1270 Ph: (256) 354-1195 | Sudha Samu, PHYSICAL THERAPIST 83825 Highway 9, Ashland, AL 36251-7981 Ph: (256) 354-1195 |
Mr. Timothy Chris Jarmon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 83825 Highway 9, Ashland, AL 36251 Phone: 256-354-2131 Fax: 256-354-1294 | |
Dr. Rita T Anderson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 83825 Highway 9, Ashland, AL 36251 Phone: 256-354-2131 Fax: 256-354-1181 | |
Ms. Denise Nowland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 83825 Highway 9, Ashland, AL 36251 Phone: 256-354-1118 Fax: 256-354-1294 |