Shawn Ray Gillham, PT | |
400 Oaklawn Ave, Corsicana, TX 75110-2937 | |
(903) 872-5925 | |
Not Available |
Full Name | Shawn Ray Gillham |
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Gender | Male |
Speciality | Physical Therapist |
Location | 400 Oaklawn Ave, Corsicana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164464145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1072882 (Texas) | Primary |
Provider Name | Lp Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861964231 PECOS PAC ID: 9234477837 Enrollment ID: O20190206001166 |
Mailing Address | Practice Location Address |
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Shawn Ray Gillham, PT Po Box 631, Corsicana, TX 75151-0631 Ph: (903) 872-5925 | Shawn Ray Gillham, PT 400 Oaklawn Ave, Corsicana, TX 75110-2937 Ph: (903) 872-5925 |
Mark Coates, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 Fax: 903-874-6295 | |
Demetria Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 N 45th St Apt 1323, Corsicana, TX 75110 Phone: 314-662-2692 | |
Dennisse Romero Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W 3rd Ave Ste 6, Corsicana, TX 75110 Phone: 903-872-5925 | |
Creative Kids Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3112 W State Highway 22, Corsicana, TX 75110 Phone: 903-641-5186 | |
Amanda Cress, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 | |
Lisa Marie Eastman Authier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 W 2nd Ave, Corsicana, TX 75110 Phone: 903-875-8533 | |
Brenda Altamira, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 W 2nd Ave, Corsicana, TX 75110 Phone: 903-874-7433 |