| Great Lakes Hand Therapy Pc | |
|
7971 Moorsbridge Rd, Portage, MI 49024-4075 | |
| (269) 321-0929 | |
| (269) 321-1767 |
| Full Name | Great Lakes Hand Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 7971 Moorsbridge Rd, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437378932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Holly Millard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467490938 PECOS PAC ID: 7517877368 Enrollment ID: I20060307000081 |
| Provider Name | Bryan Lee Herder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316169303 PECOS PAC ID: 6608786454 Enrollment ID: I20071023000263 |
| Provider Name | Craig M Bradfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215181557 PECOS PAC ID: 4587727326 Enrollment ID: I20090106000215 |
| Provider Name | Diana Calderon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386027977 PECOS PAC ID: 8729392246 Enrollment ID: I20150728005728 |
| Provider Name | Samantha M Dunleavy-shotsberger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891592945 PECOS PAC ID: 4284157231 Enrollment ID: I20250331001592 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Hand Therapy Pc 7901 S 12th St, Suite #200, Portage, MI 49024-3831 Ph: (269) 372-7200 | Great Lakes Hand Therapy Pc 7971 Moorsbridge Rd, Portage, MI 49024-4075 Ph: (269) 321-0929 |
Denise L Hoffman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5833 Oakland Dr, Suite 2, Portage, MI 49024 Phone: 269-330-2113 | |
Mosab Aziz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1806 Lansing Ave, Portage, MI 49002 Phone: 269-349-2641 | |
Great Lakes Hand Therapy Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8175 Creekside Dr Ste 100, Portage, MI 49024 Phone: 269-321-3011 Fax: 269-321-3014 | |
Renu Sharma, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5817 S Westnedge Ave, Portage, MI 49002 Phone: 269-385-3000 Fax: 000-000-0000 | |
Barbara Mauragis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 Hill An Brook Dr, Portage, MI 49024 Phone: 269-344-3066 | |
Mrs. Jennifer Lynn Sandborn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7855 Currier Dr, Portage, MI 49002 Phone: 269-323-7748 Fax: 269-323-1908 | |
Pamela K. Kloosterman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7920 Kirkland Ct, Portage, MI 49024 Phone: 269-381-7246 Fax: 269-345-5354 |