Andrew Oneal Mansell, DPT | |
6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | |
(423) 622-1551 | |
Not Available |
Full Name | Andrew Oneal Mansell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 6172 Airways Blvd Ste 122, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679066385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11712 (Tennessee) | Primary |
Provider Name | North Georgia Pediatric Therapies, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447499132 PECOS PAC ID: 8628445301 Enrollment ID: O20230731001608 |
Mailing Address | Practice Location Address |
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Andrew Oneal Mansell, DPT Po Box 8114, Chattanooga, TN 37414-0114 Ph: () - | Andrew Oneal Mansell, DPT 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 Ph: (423) 622-1551 |
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