Jennifer Holcomb, | |
46 School House Rd, Lisbon, CT 06351-3137 | |
(860) 912-4029 | |
Not Available |
Full Name | Jennifer Holcomb |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 46 School House Rd, Lisbon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073056727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT02954 (Rhode Island) | Secondary |
225100000X | Physical Therapist | PT015733 (Georgia) | Primary |
Provider Name | Fox Rehabilitation Ga, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
Mailing Address | Practice Location Address |
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Jennifer Holcomb, 46 School House Rd, Lisbon, CT 06351-3137 Ph: (860) 912-4029 | Jennifer Holcomb, 46 School House Rd, Lisbon, CT 06351-3137 Ph: (860) 912-4029 |
Mrs. Robyn J Tarinelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 28 Lee Rd, Lisbon, CT 06351 Phone: 860-376-2564 Fax: 860-376-4812 | |
Ryan Leblanc, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2b Lee Rd, Lisbon, CT 06351 Phone: 860-376-2564 Fax: 860-376-4812 | |
Mrs. Barbara Rajone Love, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2b Lee Rd, Lisbon, CT 06351 Phone: 860-376-2564 Fax: 860-376-4812 | |
Ecrc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2b Lee Rd, Lisbon, CT 06351 Phone: 860-376-2564 Fax: 860-376-4812 | |
Michelle Gaye Lussier, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2b Lee Rd, Lisbon, CT 06351 Phone: 860-376-2564 | |
Ms. Audrey Jo Traylor, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2b Lee Road, Lisbon, CT 06351 Phone: 860-376-2564 Fax: 860-376-4812 |