Justin Allen Vanlandingham, | |
1515 N Center St, Suite 5, Lonoke, AR 72086-2101 | |
(501) 676-5540 | |
(501) 676-6499 |
Full Name | Justin Allen Vanlandingham |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1515 N Center St, Lonoke, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194069351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT3552 (Arkansas) | Primary |
Provider Name | Campbell Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20031111000385 |
Mailing Address | Practice Location Address |
---|---|
Justin Allen Vanlandingham, 1515 N Center St, Suite 5, Lonoke, AR 72086-2101 Ph: (501) 676-5540 | Justin Allen Vanlandingham, 1515 N Center St, Suite 5, Lonoke, AR 72086-2101 Ph: (501) 676-5540 |
Emilia C Bussard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Elizabeth Hall, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, #5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Mr. Jacob Darrell Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 North Center Street, Suite 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Cody Schaff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Mrs. Devon Morris, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Rice Cir, Lonoke, AR 72086 Phone: 501-676-1684 | |
Caleb S Marsh, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 |