Diana Lebran, | |
512 Edgebrook Dr, Bourbonnais, IL 60914-9331 | |
(815) 922-4607 | |
Not Available |
Full Name | Diana Lebran |
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Gender | Female |
Speciality | Physical Therapist |
Location | 512 Edgebrook Dr, Bourbonnais, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285062117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.008602 (Illinois) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244 |
Mailing Address | Practice Location Address |
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Diana Lebran, 512 Edgebrook Dr, Bourbonnais, IL 60914-9331 Ph: () - | Diana Lebran, 512 Edgebrook Dr, Bourbonnais, IL 60914-9331 Ph: (815) 922-4607 |
A Step Ahead Pediatric Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 586 William R Latham Sr Dr Ste 6b, Bourbonnais, IL 60914 Phone: 815-935-0540 | |
Zachary Erb, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Mooney Dr, Suite 5, Bourbonnais, IL 60914 Phone: 815-933-7224 Fax: 815-933-7225 | |
Caitlin Renkin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 N Convent St, Bourbonnais, IL 60914 Phone: 815-936-1855 Fax: 815-936-6097 | |
Steven Reiter, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Heritage Dr Ste 101, Bourbonnais, IL 60914 Phone: 815-937-8220 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Ste 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 | |
Renee Michelle Spanburg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 N Convent St, Suite 6, Bourbonnais, IL 60914 Phone: 815-928-8357 Fax: 815-929-0492 |