Shannon C Gavin, PT | |
9609 Plank Rd, Suite P, Clinton, LA 70722-3702 | |
(225) 683-1111 | |
(225) 683-1177 |
Full Name | Shannon C Gavin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 9609 Plank Rd, Clinton, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831130681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 03685 (Louisiana) | Primary |
Provider Name | Senior Therapy Solutions |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1932739984 PECOS PAC ID: 8527307313 Enrollment ID: O20200504000898 |
Mailing Address | Practice Location Address |
---|---|
Shannon C Gavin, PT 6822 Oak Cluster Dr, Greenwell Springs, LA 70739-4139 Ph: (225) 683-1111 | Shannon C Gavin, PT 9609 Plank Rd, Suite P, Clinton, LA 70722-3702 Ph: (225) 683-1111 |
Mr. Brit Joseph D'amico, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12357 Haynes St., Clinton, LA 70722 Phone: 225-683-1125 Fax: 225-683-1127 | |
John Patrick Brumfield, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9609 Plank Rd, Suite P, Clinton, LA 70722 Phone: 225-683-1111 Fax: 225-683-1177 | |
Feliciana Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 12357 Haynes St., Clinton, LA 70722 Phone: 225-683-1125 Fax: 225-683-1127 | |
Max Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9609 Plank Rd, Suite P, Clinton, LA 70722 Phone: 225-683-1111 Fax: 225-683-1177 | |
Mrs. Francine M. D'amico, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12357 Haynes St., Clinton, LA 70722 Phone: 225-683-1125 Fax: 225-683-1127 |