| Meadow Lane Rehabilitative Therapies Llc | |
|
1219 Meadow Ln Ste 104b Chelsea MI 48118-1313 | |
| (323) 350-2556 | |
| Not Available |
| Full Name | Meadow Lane Rehabilitative Therapies Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1219 Meadow Ln Ste 104b, Chelsea, Michigan |
| Authorized Official Name and Position | Terri F Lukomski (OWNER/DIRECTOR) |
| Authorized Official Contact | 3233502556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Lane Rehabilitative Therapies Llc 1101 S Main St Unit 602 Chelsea MI 48118-7031 Ph: (233) 502-5563 | Meadow Lane Rehabilitative Therapies Llc 1219 Meadow Ln Ste 104b Chelsea MI 48118-1313 Ph: (323) 350-2556 |
| NPI Number | 1699317669 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 1759715683 |
|---|---|
| Medicare Enrollment ID | O20191230002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699317669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terri F Lukomski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467578526 PECOS PAC ID: 2264756808 Enrollment ID: I20150130000795 |
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