| Jessica Van Walleghem, | |
|
16137 Leone Dr, Macomb, MI 48042-4063 | |
| (586) 566-0326 | |
| Not Available |
| Full Name | Jessica Van Walleghem |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 16137 Leone Dr, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649836271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 12478682-4201 (Michigan) | Primary |
| Provider Name | Thera-peds |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508202151 PECOS PAC ID: 1254563992 Enrollment ID: O20140411001829 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Van Walleghem, 409 Belanger St, Grosse Pointe Farms, MI 48236-3201 Ph: () - | Jessica Van Walleghem, 16137 Leone Dr, Macomb, MI 48042-4063 Ph: (586) 566-0326 |
Mr. Allen Bruce Rodgers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16257 Shaftesbury Ln, Macomb, MI 48044 Phone: 586-884-6349 | |
Amrit Haelen Khalsa, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15959 Hall Rd Ste 410, Macomb, MI 48044 Phone: 586-416-6290 | |
Ajay Dewan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46363 Swirling Leaves Ln, Macomb, MI 48044 Phone: 586-360-7503 | |
Mr. Loren David Nowc, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044 Phone: 586-226-6500 Fax: 586-226-6505 | |
Madellyn Murphy, Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 16137 Leone Dr, Macomb, MI 48042 Phone: 586-566-0326 | |
Brittany N Nantais, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 48207 Lincoln Dr, Macomb, MI 48044 Phone: 586-206-8570 | |
Jordan Selinger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 52503 Stafford Dr, Macomb, MI 48042 Phone: 586-430-1333 |