Venture Physical Therapy West Cobb | |
5041 Dallas Hwy Ste C, Building 1 Suite C, Powder Springs, GA 30127-6458 | |
(770) 425-2151 | |
(770) 425-5982 |
Full Name | Venture Physical Therapy West Cobb |
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Type | Facility |
Speciality | Physical Therapist |
Location | 5041 Dallas Hwy Ste C, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417048885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT007058 (Georgia) | Primary |
Provider Name | Richard Durell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255529483 PECOS PAC ID: 9931003126 Enrollment ID: I20031120000269 |
Mailing Address | Practice Location Address |
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Venture Physical Therapy West Cobb 5041 Dallas Hwy Ste C, Building 1 Suite C, Powder Springs, GA 30127-6458 Ph: (770) 425-2151 | Venture Physical Therapy West Cobb 5041 Dallas Hwy Ste C, Building 1 Suite C, Powder Springs, GA 30127-6458 Ph: (770) 425-2151 |
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1050 Richard D Sailors Pkwy Ste 1100, Powder Springs, GA 30127 Phone: 123-456-7896 | |
Darius L. Sams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3410 Florence Cir, Powder Springs, GA 30127 Phone: 470-222-3051 | |
Sandra Dupree, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 John Petree Rd, Powder Springs, GA 30127 Phone: 770-443-2788 Fax: 678-325-0687 | |
Mrs. Caron Hobson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5183 Marsden Trce, Powder Springs, GA 30127 Phone: 404-787-2100 Fax: 770-428-7712 | |
Jennifer Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2420 John Petree Rd, Powder Springs, GA 30127 Phone: 770-443-2788 | |
Margaret A Wenclawiak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6067 Gentlewind Ct, Powder Springs, GA 30127 Phone: 678-773-5536 | |
Casey Mcfarland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 534 Owl Creek Dr, Powder Springs, GA 30127 Phone: 770-361-4124 |