| Kinetic Kids, Llc | |
|
540 East Milham, Portage, MI 49002 | |
| (269) 381-1880 | |
| (269) 381-1850 |
| Full Name | Kinetic Kids, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 540 East Milham, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831457142 | NPI | - | NPPES |
| 4719045 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 5201004171 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kinetic Kids, Llc 540 East Milham, Portage, MI 49002 Ph: (269) 381-1880 | Kinetic Kids, Llc 540 East Milham, Portage, MI 49002 Ph: (269) 381-1880 |
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 |