Deleon Jamaal Burch, PT | |
148 Sauls St Ste B, Lake City, SC 29560-2677 | |
(843) 374-0185 | |
(843) 374-0189 |
Full Name | Deleon Jamaal Burch |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 148 Sauls St Ste B, Lake City, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689637746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9364 (South Carolina) | Primary |
Provider Name | Pro-motion Physical Therapy Of Florence Sc Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821474115 PECOS PAC ID: 8820307580 Enrollment ID: O20151103002310 |
Mailing Address | Practice Location Address |
---|---|
Deleon Jamaal Burch, PT Po Box 6526, Columbia, SC 29260-6526 Ph: (803) 693-5040 | Deleon Jamaal Burch, PT 148 Sauls St Ste B, Lake City, SC 29560-2677 Ph: (843) 374-0185 |
Caroline Morris Brown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St, Ste B, Lake City, SC 29560 Phone: 843-374-0185 Fax: 843-374-0189 | |
Source Linguistics Physical Therapy -rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-5618 Fax: 843-394-5618 | |
Faithworks Pediatric Innervations, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 318 Moore St, Lake City, SC 29560 Phone: 843-394-9799 Fax: 843-394-9899 | |
Kacie Carlisle-yong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 318 Moore St, Lake City, SC 29560 Phone: 843-394-9799 Fax: 843-394-9899 | |
Roy Edwin Belser Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 148 Sauls St Ste B, Lake City, SC 29560 Phone: 843-374-0185 Fax: 843-374-0189 | |
Lacey Anita Booth, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St Ste B, Lake City, SC 29560 Phone: 843-374-0185 Fax: 843-374-0189 | |
Mrs. Kayla Bishop Cribb, PT, DPT, OMT-C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 258 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-374-6198 |