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30821 Barrington St, Madison Heights, MI 48071-1871 | |
(734) 355-2833 | |
(248) 331-9919 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Developmental Disabilities |
Location | 30821 Barrington St, Madison Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790110187 | NPI | - | NPPES |
Provider Name | Julia L Rauch |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053776260 PECOS PAC ID: 2961762638 Enrollment ID: I20180129002155 |
Provider Name | Amanda Claire Alfery |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710540828 PECOS PAC ID: 0648512673 Enrollment ID: I20190423002155 |
Provider Name | Jordan Elizabeth Gardner |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073960472 PECOS PAC ID: 6103292834 Enrollment ID: I20221020000444 |
Provider Name | Madison Gildner |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811695208 PECOS PAC ID: 8729443023 Enrollment ID: I20230419002758 |
Provider Name | Alexys Lorraine Anderson |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558129460 PECOS PAC ID: 8224476825 Enrollment ID: I20240402001440 |
Provider Name | Angela Marie Davis |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780268482 PECOS PAC ID: 1254866163 Enrollment ID: I20241129000231 |
Provider Name | Brittany Lavere |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235953761 PECOS PAC ID: 1658807821 Enrollment ID: I20241211001614 |
Mailing Address | Practice Location Address |
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2583 Sunnyknoll Ave, Berkley, MI 48072-1530 Ph: (734) 355-2833 | 30821 Barrington St, Madison Heights, MI 48071-1871 Ph: (734) 355-2833 |