Coryallen Wilcox, | |
1951 Newark Granville Rd, Granville, OH 43023-9170 | |
(740) 321-1021 | |
(740) 321-1022 |
Full Name | Coryallen Wilcox |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1951 Newark Granville Rd, Granville, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336557362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT014746 (Ohio) | Primary |
Provider Name | Affordable Home Health Care Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861413999 PECOS PAC ID: 9739192147 Enrollment ID: O20130129000550 |
Mailing Address | Practice Location Address |
---|---|
Coryallen Wilcox, 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-6200 | Coryallen Wilcox, 1951 Newark Granville Rd, Granville, OH 43023-9170 Ph: (740) 321-1021 |
Ms. Beth Littman Walter, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 160 Dorrence Rd, Granville, OH 43023 Phone: 740-587-0520 | |
Stephen M Mendicino, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1951 Newark Granville Rd, Granville, OH 43023 Phone: 740-321-1021 Fax: 740-321-1022 | |
Michaela Stopar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Newark Granville Rd Ste 203, Granville, OH 43023 Phone: 740-788-8100 | |
Megan Gordon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2750 Newark Granville Rd, Granville, OH 43023 Phone: 740-788-9220 Fax: 740-788-9226 | |
Emily Jean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2158 Columbus Rd, Granville, OH 43023 Phone: 740-321-0400 | |
Terry Theresa Drummond, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 543 Welsh Ln, Granville, OH 43023 Phone: 740-587-4761 |