Dustin Graves, DPT | |
1301a Harrison Ave, Mccomb, MS 39648-2829 | |
(601) 250-5455 | |
(601) 250-5453 |
Full Name | Dustin Graves |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1301a Harrison Ave, Mccomb, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881475911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7310 (Mississippi) | Primary |
Provider Name | Professional Rehab Associates |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801192307 PECOS PAC ID: 2567648777 Enrollment ID: O20110523000605 |
Mailing Address | Practice Location Address |
---|---|
Dustin Graves, DPT 1301a Harrison Ave, Mccomb, MS 39648-2829 Ph: (601) 250-5455 | Dustin Graves, DPT 1301a Harrison Ave, Mccomb, MS 39648-2829 Ph: (601) 250-5455 |
Judy Thibodeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 Fax: 601-250-6859 | |
Emily Troxler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Taneshia Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 S Locust St, Mccomb, MS 39648 Phone: 601-684-8111 | |
Nigelia Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 | |
Mr. Brad C Wilson, DPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 A Harrison Ave, Professional Rehab Associates, Mccomb, MS 39648 Phone: 601-250-5455 Fax: 601-250-5453 | |
Karen Alicia Hart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301a Harrison Ave, Mccomb, MS 39648 Phone: 601-250-5455 Fax: 601-250-5453 | |
Enid Poche Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Maryland Ave, Mccomb, MS 39648 Phone: 601-250-4815 |