| Valdosta Pediatric Therapy Services | |
|
202 W Park Ave, Valdosta, GA 31602-2507 | |
| (229) 253-8500 | |
| (229) 253-8522 |
| Full Name | Valdosta Pediatric Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 202 W Park Ave, Valdosta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235282880 | NPI | - | NPPES |
| 52592064 - 001 | Other | GA | BLUE CROSS BLUE SHIELD |
| 000802425A | Medicaid | GA | |
| 257139725 | Other | GA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 002693 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Valdosta Pediatric Therapy Services 202 W Park Ave, Valdosta, GA 31602-2507 Ph: (229) 253-8500 | Valdosta Pediatric Therapy Services 202 W Park Ave, Valdosta, GA 31602-2507 Ph: (229) 253-8500 |
Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Revajo S. Broadwater, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3537 North Crossing Circle, Valdosta, GA 31602 Phone: 229-333-0095 Fax: 229-333-0756 | |
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702 | |
Dr. John Tanner Allen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Clover Hill Rd, Valdosta, GA 31602 Phone: 229-740-3484 | |
Robertus Wolters, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671 | |
Steven C Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St Bldg A2, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039 | |
Valdosta Pediatric Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 |