| La Donna Johns, OTR | |
|
4600 E 14 Mile Rd, Warren, MI 48092-4369 | |
| (866) 335-3255 | |
| (586) 601-2500 |
| Full Name | La Donna Johns |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4600 E 14 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396926622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5201003531 (Michigan) | Primary |
| Entity Name | Activa Rehabilitation Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366796039 PECOS PAC ID: 2466693163 Enrollment ID: O20130723000272 |
| Mailing Address | Practice Location Address |
|---|---|
| La Donna Johns, OTR 4600 E 14 Mile Rd, Warren, MI 48092-4369 Ph: (866) 335-3255 | La Donna Johns, OTR 4600 E 14 Mile Rd, Warren, MI 48092-4369 Ph: (866) 335-3255 |
Burton G. Engel, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 13850 E 12 Mile Rd, Warren, MI 48088 Phone: 586-552-4499 | |
Aaron Wayne Sable, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 13850 E 12 Mile Rd, Warren, MI 48088 Phone: 586-552-4499 Fax: 586-552-4878 | |
Sean Kevin Ferguson, PT, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 30655 Hoover Rd, Warren, MI 48093 Phone: 586-574-1200 Fax: 586-574-9425 | |
Satyum Parikh, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 13850 E 12 Mile Rd, Warren, MI 48088 Phone: 586-552-4499 | |
Anthony Joseph Oddo, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093 Phone: 586-261-1960 Fax: 586-261-1961 | |
Mr. Young Il Seo, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2600 Hoover, Suite 103, Warren, MI 48089 Phone: 586-758-3593 Fax: 586-758-3628 |