Alise Terry Driggers, DPT | |
744 S Columbia Dr, West Columbia, TX 77486-3030 | |
(979) 236-6908 | |
Not Available |
Full Name | Alise Terry Driggers |
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Gender | Female |
Speciality | Physical Therapist |
Location | 744 S Columbia Dr, West Columbia, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417664426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1352359 (Texas) | Primary |
Provider Name | Revive & Rehab Physical Therapy |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043928393 PECOS PAC ID: 9133591548 Enrollment ID: O20230213001759 |
Mailing Address | Practice Location Address |
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Alise Terry Driggers, DPT 4687 County Road 356, Brazoria, TX 77422-8108 Ph: (979) 236-6908 | Alise Terry Driggers, DPT 744 S Columbia Dr, West Columbia, TX 77486-3030 Ph: (979) 236-6908 |
Total Physical Therapy & Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Dance Dr, West Columbia, TX 77486 Phone: 979-665-8888 | |
Grace Ann Hankins, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Dance Dr, West Columbia, TX 77486 Phone: 979-345-7878 | |
Dr. Gail Marie Yarborough, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Dance Dr, West Columbia, TX 77486 Phone: 979-345-7878 |