Olisaeloka Anyakwo, PT | |
6971 Eastchase Loop, Montgomery, AL 36117-6876 | |
(334) 721-6500 | |
(334) 721-6501 |
Full Name | Olisaeloka Anyakwo |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 6971 Eastchase Loop, Montgomery, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770101487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTH9714 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Physical Therapy Llc | 9133116411 | 46 |
Progressive Physical Therapy Llc | 9133116411 | 46 |
Provider Name | Progressive Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659553535 PECOS PAC ID: 9133116411 Enrollment ID: O20191021000131 |
Mailing Address | Practice Location Address |
---|---|
Olisaeloka Anyakwo, PT Po Box 306393, Nashville, TN 37230-6393 Ph: (615) 373-1350 | Olisaeloka Anyakwo, PT 6971 Eastchase Loop, Montgomery, AL 36117-6876 Ph: (334) 721-6500 |
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