Pocholo Lawsin Palacio, PT | |
190 River Park Dr, Little River, SC 29566-6844 | |
(843) 741-0082 | |
Not Available |
Full Name | Pocholo Lawsin Palacio |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 190 River Park Dr, Little River, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790460400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2575 (South Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631 |
Mailing Address | Practice Location Address |
---|---|
Pocholo Lawsin Palacio, PT 202 N 13th St, Wilmington, NC 28401-4312 Ph: (864) 497-7749 | Pocholo Lawsin Palacio, PT 190 River Park Dr, Little River, SC 29566-6844 Ph: (843) 741-0082 |
Mr. James St. Cyr, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4237 River Hills Dr, Suite 120, Little River, SC 29566 Phone: 843-249-5616 Fax: 843-249-1843 | |
Ramnik Singh Uppal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4237 River Hills Dr Ste 120, Little River, SC 29566 Phone: 843-999-0900 | |
Ami Pankaj Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4237 River Hills Dr, Suite 120, Little River, SC 29566 Phone: 843-249-5616 Fax: 843-249-1843 | |
Jodi Young, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 749 Lafayette Park Dr, Little River, SC 29566 Phone: 910-234-1682 | |
Legacy Healthcare Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 190 River Park Dr, Little River, SC 29566 Phone: 855-239-3467 | |
Tyler J Cooperman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4237 River Hills Dr Ste 120, Little River, SC 29566 Phone: 843-249-5616 Fax: 843-249-1843 | |
Professional Rehabilitation Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Pavilion Dr, Little River, SC 29566 Phone: 843-281-4222 Fax: 843-491-4214 |