Jennifer M Pulisic, | |
203 N Washington Hwy, Ashland, VA 23005-1623 | |
(804) 798-1112 | |
Not Available |
Full Name | Jennifer M Pulisic |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 203 N Washington Hwy, Ashland, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528732724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 2305003363 (Virginia) | Primary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Pulisic, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Jennifer M Pulisic, 203 N Washington Hwy, Ashland, VA 23005-1623 Ph: (804) 798-1112 |
Jenny Place, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 429 England St, Ashland, VA 23005 Phone: 804-798-9870 | |
Dr. Darla M Siewert, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 England St, Ashland, VA 23005 Phone: 804-798-1591 Fax: 804-798-1593 | |
Ramyashri Arunachalam, Physical Therapist Medicare: Medicare Enrolled Practice Location: 906 Thompson St, Ashland, VA 23005 Phone: 804-798-3291 | |
Mariann Mendelsohn Brush, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Berkley St, Ashland, VA 23005 Phone: 804-723-2070 Fax: 804-723-2079 | |
Mr. Matthew Pulisic, DPT MS OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 N Washington Hwy, Ashland, VA 23005 Phone: 804-340-1193 Fax: 804-340-1930 | |
Ashland Physical Therapy Associates Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 203 N Washington Hwy, Ashland, VA 23005 Phone: 804-340-1193 Fax: 804-340-1930 |