Mrs Phyllis J Lesak, PT | |
2100 Regional Medical Dr, Wharton, TX 77488-9719 | |
(979) 532-1700 | |
Not Available |
Full Name | Mrs Phyllis J Lesak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2100 Regional Medical Dr, Wharton, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407923204 | NPI | - | NPPES |
307400702 | Medicaid | TX | |
874T13 | Other | TX | BC/BS PROVIDER # |
874T13 | Other | TX | BC/BS # |
PO1206491 | Other | TX | RAILROAD MEDICARE # |
P00782885 | Other | TX | RAILROAD MEDICARE # |
1028967 | Other | TX | P.T. LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1028967 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Phyllis J Lesak, PT 2100 Regional Medical Dr, Wharton, TX 77488-9719 Ph: (979) 532-1700 | Mrs Phyllis J Lesak, PT 2100 Regional Medical Dr, Wharton, TX 77488-9719 Ph: (979) 532-1700 |
Mrs. Colleen Ann Rasmussen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 |