| Mitchell Connor Deansmyth, OTR | |
|
29751 Little Mack Ave Ste A, Roseville, MI 48066-6504 | |
| (313) 278-4601 | |
| Not Available |
| Full Name | Mitchell Connor Deansmyth |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 29751 Little Mack Ave Ste A, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891419891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201013022 (Michigan) | Primary |
| Provider Name | Quality Care Rehabilitation Professionals, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396817771 PECOS PAC ID: 7618982471 Enrollment ID: O20060215000330 |
| Provider Name | Dearborn Speech And Sensory Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033510821 PECOS PAC ID: 6901128487 Enrollment ID: O20141212000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Connor Deansmyth, OTR 15355 Lakeside Village Dr Apt 206, Clinton Township, MI 48038-3554 Ph: () - | Mitchell Connor Deansmyth, OTR 29751 Little Mack Ave Ste A, Roseville, MI 48066-6504 Ph: (313) 278-4601 |
Cynthia Hogan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18285 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-774-5774 Fax: 586-774-5884 | |
Katrina Maria Decanini, OTR/L, LSVT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066 Phone: 586-774-3100 | |
Mr. Mitchell Brian Schram, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18245 E 10 Mile Rd, Roseville, MI 48066 Phone: 586-774-3100 | |
Kaylee Marie Rayburn, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 29751 Little Mack Ave Ste A, Roseville, MI 48066 Phone: 313-278-4601 | |
Gulshan Chandna, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 17255 Common Rd, Roseville, MI 48066 Phone: 586-335-8182 Fax: 248-757-2330 | |
Julie Liedel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18285 E 10 Mile Rd, Ste.100, Roseville, MI 48066 Phone: 586-774-5774 Fax: 586-774-5884 | |
Mrs. Diana Preda, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 29751 Little Mack Ave Ste A, Roseville, MI 48066 Phone: 313-278-4601 |