Gilbert Henderson, LPT | |
2 Saint Marks Pl, Suite 120, La Grange, TX 78945-1251 | |
(979) 242-2401 | |
Not Available |
Full Name | Gilbert Henderson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2 Saint Marks Pl, La Grange, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174790265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1059640 (Texas) | Primary |
Provider Name | Ultimate Rehab Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689390239 PECOS PAC ID: 7012361611 Enrollment ID: O20231002000683 |
Mailing Address | Practice Location Address |
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Gilbert Henderson, LPT 2 Saint Marks Pl, Suite 120, La Grange, TX 78945-1251 Ph: (979) 242-2401 | Gilbert Henderson, LPT 2 Saint Marks Pl, Suite 120, La Grange, TX 78945-1251 Ph: (979) 242-2401 |
Alaina Christen Petzold, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1840 E State Highway 71, La Grange, TX 78945 Phone: 979-250-5135 Fax: 979-250-5134 | |
Laura Eschenburg, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Saint Marks Pl, Suite 120, La Grange, TX 78945 Phone: 979-242-2401 | |
Ultimate Rehab, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1840 E State Highway 71, La Grange, TX 78945 Phone: 979-250-5135 Fax: 979-250-5134 |