| Ultimate Rehab, Pllc | |
|
1840 E State Highway 71, La Grange, TX 78945-4625 | |
| (979) 250-5135 | |
| (979) 250-5134 |
| Full Name | Ultimate Rehab, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1840 E State Highway 71, La Grange, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689390239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alaina Christen Petzold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043970049 PECOS PAC ID: 3476907072 Enrollment ID: I20231002000995 |
| Provider Name | Gilbert Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174790265 PECOS PAC ID: 2567816168 Enrollment ID: I20231002001272 |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Rehab, Pllc 1840 E State Highway 71, La Grange, TX 78945-4625 Ph: () - | Ultimate Rehab, Pllc 1840 E State Highway 71, La Grange, TX 78945-4625 Ph: (979) 250-5135 |
Alaina Christen Petzold, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1840 E State Highway 71, La Grange, TX 78945 Phone: 979-250-5135 Fax: 979-250-5134 | |
Laura Eschenburg, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Saint Marks Pl, Suite 120, La Grange, TX 78945 Phone: 979-242-2401 | |
Gilbert Henderson, L.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Saint Marks Pl, Suite 120, La Grange, TX 78945 Phone: 979-242-2401 |