Hector Agustin Mallar, PT, DPT | |
233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 | |
(404) 458-7169 | |
Not Available |
Full Name | Hector Agustin Mallar |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 233 Arnold Mill Rd Ste 300, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154997005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT014592 (Georgia) | Primary |
Provider Name | Synapse Neurorehab And Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679156863 PECOS PAC ID: 1355742917 Enrollment ID: O20210702001334 |
Mailing Address | Practice Location Address |
---|---|
Hector Agustin Mallar, PT, DPT 233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 Ph: (404) 458-7169 | Hector Agustin Mallar, PT, DPT 233 Arnold Mill Rd Ste 300, Woodstock, GA 30188-7600 Ph: (404) 458-7169 |
Amy Kafati, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1432 Towne Lake Pkwy, Ste 120, Woodstock, GA 30189 Phone: 678-445-9799 Fax: 678-445-2688 | |
James Peter Kwan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Matthew Payom Ayers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Giovani Velez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6236 Holly Springs Pkwy, Ste D8, Woodstock, GA 30188 Phone: 770-800-6770 | |
Scott William Lowe, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 | |
Brittany Poist Kizzire, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 Towne Lake Pkwy, Ste 148, Woodstock, GA 30189 Phone: 770-926-2744 Fax: 770-926-2794 |