| Ericka Kenny, OTRL | |
|
6777 W Maple Rd, West Bloomfield, MI 48322-3013 | |
| (325) 248-1000 | |
| Not Available |
| Full Name | Ericka Kenny |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6777 W Maple Rd, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801464615 | NPI | - | NPPES |
| 449661 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| 5201011231 | Other | MI | MICHIGAN BOARD OF OCCUPATIONAL THERAPY |
| 205501915792 | Other | AMERICAN HEART ASSOCIATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201011231 (Michigan) | Primary |
| Provider Name | Fox Rehabilitation Services Mi Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790324648 PECOS PAC ID: 2769819960 Enrollment ID: O20200228000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Ericka Kenny, OTRL 15010 Frost Rd, Hemlock, MI 48626-9664 Ph: (989) 573-2988 | Ericka Kenny, OTRL 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (325) 248-1000 |
Pemina Riben, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7125 Orchard Lake Rd Ste 201, West Bloomfield, MI 48322 Phone: 248-865-9418 | |
Madison Sokol, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-3113 | |
Mrs. Ada Ladelle Gallant, OTRL, LPTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6535 Drake Rd, West Bloomfield, MI 48322 Phone: 810-240-3453 | |
Pamela Kane, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Jamie M Stockdale, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6625 Daly Rd, West Bloomfield, MI 48322 Phone: 248-737-3430 | |
Benchmark Physical Therapy Michigan Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6907 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 248-232-3146 Fax: 248-232-3147 | |
Erica Aittama, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 |