| Daniel Hicks, | |
|
2050 S Washington Rd, Holt, MI 48842-8631 | |
| (734) 718-2947 | |
| Not Available |
| Full Name | Daniel Hicks |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2050 S Washington Rd, Holt, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588481196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Tmi East Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hicks, 504 E Jefferson St, Grand Ledge, MI 48837-1752 Ph: (931) 446-6414 | Daniel Hicks, 2050 S Washington Rd, Holt, MI 48842-8631 Ph: (734) 718-2947 |
Ms. Sydney Abigayle Stiles, MSOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2288 Anchor Ct, Holt, MI 48842 Phone: 517-881-2135 | |
Kelli Abuan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 | |
Elevate Pediatric Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1773 Enfield Dr, Holt, MI 48842 Phone: 517-899-9639 |