| Spine And Sports Therapy Llc | |
|
125 S Bloomington St, Suite A, Lowell, AR 72745-9493 | |
| (479) 770-5655 | |
| (479) 770-5656 |
| Full Name | Spine And Sports Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 125 S Bloomington St, Lowell, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730454935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Joel D Sebag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164405395 PECOS PAC ID: 9032100029 Enrollment ID: I20050423000044 |
| Provider Name | Louela M Sebag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740263987 PECOS PAC ID: 2769412261 Enrollment ID: I20050818000967 |
| Provider Name | Grace G Tuazon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891778031 PECOS PAC ID: 9335179308 Enrollment ID: I20050818000977 |
| Provider Name | Sheila Renee' Wolf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548347404 PECOS PAC ID: 6204139041 Enrollment ID: I20160128000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Sports Therapy Llc Po Box 1938, Lowell, AR 72745-1938 Ph: (479) 770-5655 | Spine And Sports Therapy Llc 125 S Bloomington St, Suite A, Lowell, AR 72745-9493 Ph: (479) 770-5655 |
Dalton Main, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1402 Fifth Ave, Lowell, AR 72745 Phone: 479-426-8803 | |
Professional For Agility Care Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 S Lincoln St, Ste D, Lowell, AR 72745 Phone: 870-704-9800 Fax: 479-770-5656 | |
Payal Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 213 W Monroe Ave, Ste C, Lowell, AR 72745 Phone: 479-770-0788 Fax: 479-770-0790 | |
Ma Helena Garcia Quimbo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 S Bloomington St, Ste A, Lowell, AR 72745 Phone: 479-770-5655 Fax: 479-770-5656 | |
Lucas D Winslow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 507 W Monroe Ave, Lowell, AR 72745 Phone: 479-334-7030 Fax: 479-334-7029 |