Jillianne I De La Cruz, DPT | |
1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 | |
(843) 525-0045 | |
(843) 525-0826 |
Full Name | Jillianne I De La Cruz |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1076 Ribaut Rd Ste 102, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760110464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11484 (South Carolina) | Primary |
Provider Name | Beaufort Orthopaedic Sports And Spine Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982765160 PECOS PAC ID: 1355301771 Enrollment ID: O20041012000064 |
Mailing Address | Practice Location Address |
---|---|
Jillianne I De La Cruz, DPT 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 Ph: (843) 525-0045 | Jillianne I De La Cruz, DPT 1076 Ribaut Rd Ste 102, Beaufort, SC 29902-5490 Ph: (843) 525-0045 |
Brian Esterle, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd Ste 100, Beaufort, SC 29902 Phone: 843-379-0836 | |
Raymond Cross, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-1318 | |
Michael Wayne Twitty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd Ste 102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Michael George Konoza, MSPT, ATC Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1076 Ribaut Rd, Suite102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Jessica Danielle Mcgarvey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5473 | |
Carla Marshall Carson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd, Suite 102, Beaufort, SC 29902 Phone: 843-521-1970 | |
Brooke Gottlieb, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 18 Professional Village Cir, Beaufort, SC 29907 Phone: 843-986-9670 |