Benjamin Coulthard, DPT | |
106 W Stuart Dr, Galax, VA 24333-2114 | |
(276) 238-8900 | |
Not Available |
Full Name | Benjamin Coulthard |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 106 W Stuart Dr, Galax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538997705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Pt Solutions Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861946329 PECOS PAC ID: 5496668667 Enrollment ID: O20171012000010 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Coulthard, DPT 6369 Poplar Camp Rd, Austinville, VA 24312-3239 Ph: () - | Benjamin Coulthard, DPT 106 W Stuart Dr, Galax, VA 24333-2114 Ph: (276) 238-8900 |
Shadagopan Saragur Parthasarathy, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 836 Glendale Rd, Galax, VA 24333 Phone: 276-236-9991 | |
Mr. James Clark Williams Jr., P.T., CSCS, C.PED Physical Therapist Medicare: Medicare Enrolled Practice Location: 106 W Stuart Dr, Galax, VA 24333 Phone: 276-238-8900 Fax: 276-238-8904 | |
Mrs. Josee Williams, P.T., CSCS, CERT MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 W Stuart Dr, Galax, VA 24333 Phone: 276-238-8900 Fax: 276-238-8904 | |
David Wilson, P.T.,C.W.S Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 N Jefferson St, Galax, VA 24333 Phone: 276-236-8974 | |
Rebecca Louise Harris, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 W Stuart Dr, Galax, VA 24333 Phone: 276-238-8900 | |
Erica Poe Forrester, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 969 E Stuart Dr, Galax, VA 24333 Phone: 276-238-8118 |