| Olivia Mould, | |
|
600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 | |
| (770) 425-6701 | |
| Not Available |
| Full Name | Olivia Mould |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 600 Chastain Rd Nw Ste 428, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417637414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Benchmark Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Mould, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Olivia Mould, 600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 Ph: (770) 425-6701 |
Divya Subhadra Nadimpalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Mccook Dr Nw, Kennesaw, GA 30144 Phone: 901-212-5834 | |
Laura Bonin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491 | |
Mr. Ross Joseph Brakeville, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2300 Kinsale Point, Kennesaw, GA 30152 Phone: 678-469-3007 Fax: 404-350-9405 | |
Brittany Strache, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144 Phone: 770-425-6701 Fax: 770-425-6703 | |
Mary Yostpille, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2774 Cobb Pkwy Nw Ste 112, Kennesaw, GA 30152 Phone: 678-809-8448 | |
Leslie Cole Landen, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Vaughn Rd Nw Ste 130, Kennesaw, GA 30144 Phone: 770-425-6661 | |
Dr. Dustin Dobbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Creekside Village Dr Nw, Suite 701, Kennesaw, GA 30144 Phone: 678-574-6868 |