| Jackie Mccullough, MOTR/L | |
|
19135 Holdren St, Brownstown, MI 48173-9307 | |
| (313) 999-0873 | |
| Not Available |
| Full Name | Jackie Mccullough |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 19135 Holdren St, Brownstown, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841781606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Therapy Management Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
| 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 |
|---|---|
| Jackie Mccullough, MOTR/L 28349 Joy Rd, Westland, MI 48185-5524 Ph: () - | Jackie Mccullough, MOTR/L 19135 Holdren St, Brownstown, MI 48173-9307 Ph: (313) 999-0873 |
Makenzie Breken Zook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23537 Telegraph Rd, Brownstown, MI 48134 Phone: 313-278-4601 | |
Ashlee Salinas, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 23537 Telegraph Rd, Brownstown, MI 48134 Phone: 313-278-4601 | |
Julie A Spuhler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21400 Dix Road, Brownstown, MI 48183 Phone: 734-479-2434 |