| Kelsey Marmarou, | |
|
4455 24th Ave Ste 120, Fort Gratiot, MI 48059-4516 | |
| (248) 232-0905 | |
| (248) 648-3668 |
| Full Name | Kelsey Marmarou |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4455 24th Ave Ste 120, Fort Gratiot, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942801659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC017126 (Pennsylvania) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Marmarou, Po Box 412031, Boston, MA 02241-2031 Ph: () - | Kelsey Marmarou, 4455 24th Ave Ste 120, Fort Gratiot, MI 48059-4516 Ph: (248) 232-0905 |
Jerrie Michele Pemberton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3041 Commerce Dr, Fort Gratiot, MI 48059 Phone: 810-858-1999 | |
Dianna Sue Hill, COTAL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5669 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-7260 | |
Emily Watson, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5669 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-386-7260 | |
Mary Mcnaughton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3041 Commerce Dr, Fort Gratiot, MI 48059 Phone: 810-343-4508 | |
Madison Claire Haron, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4023 Janice Ave, Fort Gratiot, MI 48059 Phone: 810-941-4936 | |
Rebecca Medcraft, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3041 Commerce Dr Ste A, Fort Gratiot, MI 48059 Phone: 810-990-8644 | |
Karly Olivia Schrader, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5669 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-7260 |