Mary K Deranger, PT | |
2335 Church St Ste G, Zachary, LA 70791-2700 | |
(225) 654-8208 | |
(225) 654-4642 |
Full Name | Mary K Deranger |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2335 Church St Ste G, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255565545 | NPI | - | NPPES |
07557 | Other | LA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.200306 (Louisiana) | Secondary |
225100000X | Physical Therapist | 07557 (Louisiana) | Primary |
Provider Name | Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82 |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400 |
Mailing Address | Practice Location Address |
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Mary K Deranger, PT 2335 Church St Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208 | Mary K Deranger, PT 2335 Church St Ste G, Zachary, LA 70791-2700 Ph: (225) 654-8208 |
Mrs. Joy Birdwell Petty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1219 Church St, Zachary, LA 70791 Phone: 225-658-7751 Fax: 225-658-7753 | |
Moreau Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St Ste B, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Mr. Stephen James Mayronne Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Church St, Zachary, LA 70791 Phone: 225-658-7751 Fax: 225-658-7753 | |
Amanda Joan Starnes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4845 Main St Ste B, Zachary, LA 70791 Phone: 225-286-0181 | |
Jameson Levon William Alston, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St # C, Zachary, LA 70791 Phone: 225-286-0181 Fax: 225-286-0186 | |
Mrs. Kimberly Sue Denham, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 | |
Colleen Wilbert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1326 Church St, Zachary, LA 70791 Phone: 225-654-8208 Fax: 225-654-4642 |