Jessica Celeste Granger, | |
3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | |
(866) 221-5405 | |
Not Available |
Full Name | Jessica Celeste Granger |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 3100 Olympus Blvd Ste 500, Coppell, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942864582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9612 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Parish Therapy Center, Llc | 8022048867 | 20 |
Provider Name | Jackson Parish Therapy Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891794491 PECOS PAC ID: 8022048867 Enrollment ID: O20050822000213 |
Provider Name | Therateam Outpatient Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821333055 PECOS PAC ID: 5597995233 Enrollment ID: O20140225002228 |
Mailing Address | Practice Location Address |
---|---|
Jessica Celeste Granger, 1110 Highway 556, Choudrant, LA 71227-9790 Ph: () - | Jessica Celeste Granger, 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 Ph: (866) 221-5405 |
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