Ms Brianna Fasullo, DPT | |
601 Hatchell Ln, Denham Springs, LA 70726-3015 | |
(225) 380-1894 | |
(225) 380-1896 |
Full Name | Ms Brianna Fasullo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 601 Hatchell Ln, Denham Springs, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578137923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10894 (Louisiana) | Primary |
Provider Name | Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82 |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770568669 PECOS PAC ID: 3173419298 Enrollment ID: O20180207001400 |
Mailing Address | Practice Location Address |
---|---|
Ms Brianna Fasullo, DPT 601 Hatchell Ln, Denham Springs, LA 70726-3015 Ph: (225) 380-1894 | Ms Brianna Fasullo, DPT 601 Hatchell Ln, Denham Springs, LA 70726-3015 Ph: (225) 380-1894 |
Manuel N Aquino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8128 Florida Boulevard, Denham Springs, LA 70726 Phone: 225-791-8666 Fax: 225-791-2891 | |
Mrs. Alyce Cresson Bowers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8128 Florida Blvd, Denham Springs, LA 70726 Phone: 225-791-2891 | |
Ms. Alicia A Ponsock, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Veterans Blvd, Suite A, Denham Springs, LA 70726 Phone: 225-667-6598 Fax: 225-664-8167 | |
Hannah Elysse Williams, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35055 La Highway 16 Ste 1c, Denham Springs, LA 70706 Phone: 225-791-7770 | |
Jason Pitre, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Aspen Square, Suite A, Denham Springs, LA 70726 Phone: 225-667-8989 Fax: 225-667-9554 | |
Mr. Joshua C Leblanc, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 35055 La Hwy 16, Ste 1-c, Denham Springs, LA 70706 Phone: 225-791-7770 Fax: 225-791-7725 | |
Physician's Choice Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2346 S Range Ave, Denham Springs, LA 70726 Phone: 225-665-8080 Fax: 225-665-0999 |