Corrine Celeste Bolles, PT, DPT | |
6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 | |
(678) 418-8072 | |
(678) 418-8072 |
Full Name | Corrine Celeste Bolles |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 6000 Hillandale Dr Ste 145, Lithonia, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245899723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT013981 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dekalb Comprehensive Physical Therapy Limited Partnership | 8325059504 | 4 |
Provider Name | Decatur Hand And Physical Therapy Specialists Limited Partnership |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174538607 PECOS PAC ID: 3971529256 Enrollment ID: O20051017000102 |
Provider Name | Dekalb Comprehensive Physical Therapy Limited Partnership |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831136951 PECOS PAC ID: 8325059504 Enrollment ID: O20060601000274 |
Mailing Address | Practice Location Address |
---|---|
Corrine Celeste Bolles, PT, DPT 6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 Ph: (678) 418-8072 | Corrine Celeste Bolles, PT, DPT 6000 Hillandale Dr Ste 145, Lithonia, GA 30058-4860 Ph: (678) 418-8072 |
Stephanie Marie Ravalese, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Jordan Alliah Davis, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Michelle Alade, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Ami Kirollos, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 | |
Shelby Kay Vandeberghe, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 Fax: 770-987-1149 | |
Khianna Anthony, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038 Phone: 770-987-1122 |