Angela O Liautaud, PT | |
557 N Washington St, Janesville, WI 53548-2907 | |
(608) 754-6000 | |
(608) 755-7892 |
Full Name | Angela O Liautaud |
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Gender | Female |
Speciality | Physical Therapist |
Location | 557 N Washington St, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144762410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13517-24 (Wisconsin) | Primary |
Provider Name | Mercy Health System Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Angela O Liautaud, PT 557 N Washington St, Janesville, WI 53548-2907 Ph: (608) 754-6000 | Angela O Liautaud, PT 557 N Washington St, Janesville, WI 53548-2907 Ph: (608) 754-6000 |
Alesia L Drake, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6842 Fax: 608-741-6953 | |
Macy G Bolt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8935 | |
Ann Slinde, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2050 Morse Street Suite 150, Janesville, WI 53545 Phone: 608-305-1028 Fax: 608-554-4787 | |
Joshua T Lehr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-756-7225 | |
Kelsey E Olson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-373-8790 Fax: 608-371-8935 | |
Marcus A Sojka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8935 | |
Peter W. Menges, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 557 N Washington St, Janesville, WI 53548 Phone: 608-754-6000 Fax: 608-755-7892 |