Gabrielle Minor, | |
1000 Health Center Dr, Mattoon, IL 61938-9253 | |
(217) 258-2530 | |
(217) 258-4176 |
Full Name | Gabrielle Minor |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1000 Health Center Dr, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326604273 | NPI | - | NPPES |
070019529 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070019529 (Illinois) | Primary |
Provider Name | Select Physical Therapy Texas Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770254179 PECOS PAC ID: 6608868070 Enrollment ID: O20090810000442 |
Mailing Address | Practice Location Address |
---|---|
Gabrielle Minor, 1000 Health Center Dr, Mattoon, IL 61938-9253 Ph: (217) 258-2530 | Gabrielle Minor, 1000 Health Center Dr, Mattoon, IL 61938-9253 Ph: (217) 258-2530 |
Kendall Giles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1004 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176 | |
Jennifer Uberfluss, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 | |
Elizabeth H Jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-235-3121 Fax: 217-235-3122 | |
Douglas A Henness, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2530 Fax: 217-258-4176 | |
Central Illinois Physical Therapy Professionals, Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Professional Plz, Mattoon, IL 61938 Phone: 217-345-1245 Fax: 217-345-1253 | |
Teri Lyn Miller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 | |
Carla A Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2525 |