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432 E Main St Ste A-1, Abingdon, VA 24210-3488 | |
| (276) 608-4468 | |
| (276) 240-1010 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 432 E Main St Ste A-1, Abingdon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891806949 | NPI | - | NPPES |
| 0159770000 | Medicaid | WV | |
| 0156094000 | Medicaid | WV | |
| 054378 | Other | ANTHEM BCBS | |
| 036077 | Other | ANTHEM BCBS |
| Provider Name | Mark Oliver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710185301 PECOS PAC ID: 8820152002 Enrollment ID: I20150729008322 |
| Mailing Address | Practice Location Address |
|---|---|
432 E Main St Ste A-1, Abingdon, VA 24210-3488 Ph: (276) 608-4468 | 432 E Main St Ste A-1, Abingdon, VA 24210-3488 Ph: (276) 608-4468 |
Dr. Bradley Shockley, DPT, HFS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15051 Harmony Hills Ln, Abingdon, VA 24211 Phone: 276-623-1004 | |
Taylor Lynne Sophia Vanders, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17507 Lee Hwy, Abingdon, VA 24210 Phone: 276-525-6043 | |
Julie Marie Goulet, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18596 Lee Hwy Ste B, Abingdon, VA 24210 Phone: 276-525-6043 | |
Kyle Thomas Lilly, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25298 Lee Hwy, Abingdon, VA 24211 Phone: 276-698-3104 Fax: 276-698-3110 | |
Ann B Fleenor, PT, CMT, NCTMB Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 E Main St, Abingdon, VA 24210 Phone: 276-623-3413 | |
Jennifer Kemp, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17507 Lee Hwy, Abingdon, VA 24210 Phone: 276-525-6043 | |
Kayla Stump Frazier, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18596 Lee Hwy Ste B, Abingdon, VA 24210 Phone: 276-525-6043 |