Ma Irisa Hibanada Kubala, PT | |
7823 Old State Road 60, Sellersburg, IN 47172-1858 | |
(812) 246-4272 | |
(812) 246-8136 |
Full Name | Ma Irisa Hibanada Kubala |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7823 Old State Road 60, Sellersburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396909198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05003464A (Indiana) | Primary |
Provider Name | Holsman Physical Therapy & Rehab Of Ind Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942822986 PECOS PAC ID: 7214352327 Enrollment ID: O20200806002482 |
Mailing Address | Practice Location Address |
---|---|
Ma Irisa Hibanada Kubala, PT 4903 Creekpointe Terrace, Apt 7, Louisville, KY 40219-5908 Ph: (502) 968-7867 | Ma Irisa Hibanada Kubala, PT 7823 Old State Road 60, Sellersburg, IN 47172-1858 Ph: (812) 246-4272 |
Erin Denise Jenkins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7600 Highway 60 Ste 300, Sellersburg, IN 47172 Phone: 812-542-4684 | |
Carefirst Therapies, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7225 Novas Lndg, Sellersburg, IN 47172 Phone: 812-748-7433 | |
Mr. Russell Porras, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7102 Novas Lndg, Sellersburg, IN 47172 Phone: 812-590-9181 Fax: 502-498-5388 | |
Jerome Lopez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7823 Old State Road 60, Sellersburg, IN 47172 Phone: 812-246-4272 | |
Nathan Charles Lynch, PT, CFCE, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Hunter Station Way, Suite 201, Sellersburg, IN 47172 Phone: 812-786-4394 Fax: 812-725-1634 | |
Mr. Rohit D Patel, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12504 Hummingbird Way, Sellersburg, IN 47172 Phone: 765-461-3156 Fax: 812-949-9050 |