Mrs Mythili Balasubramaniyan, PT | |
1633 Lejack Circle, Forest, VA 24551 | |
(517) 515-8098 | |
Not Available |
Full Name | Mrs Mythili Balasubramaniyan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1633 Lejack Circle, Forest, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629355789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305207911 (Virginia) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20091019000338 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mythili Balasubramaniyan, PT 1633 Lejack Circle, Forest, VA 24551 Ph: (517) 515-8098 | Mrs Mythili Balasubramaniyan, PT 1633 Lejack Circle, Forest, VA 24551 Ph: (517) 515-8098 |
Austin H. Bennett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Enterprise Dr, Forest, VA 24551 Phone: 434-851-0091 | |
Mr. Mahesh Kumar Kodikalla Srinivasulu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1633 Lejack Circle, Forest, VA 24551 Phone: 517-315-3347 | |
Andrew Edward Kosiba, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1017 S Westyn Loop, Forest, VA 24551 Phone: 631-495-9968 | |
Dr. Katelyn Anne Bosch, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 Foxmoor Pl, Forest, VA 24551 Phone: 434-665-0211 | |
Benchmark Physical Therapy Of Va, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14805 Forest Rd Ste 227, Forest, VA 24551 Phone: 434-817-1065 | |
Back To Life Rehab, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Vista Centre Dr, Suite 8, Forest, VA 24551 Phone: 434-385-4900 Fax: 434-385-7100 | |
Christene Yancey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7738 Cottontown Rd, Forest, VA 24551 Phone: 434-548-9144 |