| Mrs Jessica Sue Beach, OTR | |
|
449 Quarter St, Gladwin, MI 48624-1918 | |
| (989) 426-3430 | |
| Not Available |
| Full Name | Mrs Jessica Sue Beach |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 449 Quarter St, Gladwin, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730451311 | NPI | - | NPPES |
| 5201008148 | Other | MI | BOARD OF OCCUPATIONAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201008148 (Michigan) | Primary |
| Provider Name | Powerback Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912226366 PECOS PAC ID: 2365359932 Enrollment ID: O20101207000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Sue Beach, OTR 803 Hemlock St, Midland, MI 48642-6342 Ph: (989) 708-1212 | Mrs Jessica Sue Beach, OTR 449 Quarter St, Gladwin, MI 48624-1918 Ph: (989) 426-3430 |
Maria Johanna Ruffer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 Quarter St, Gladwin, MI 48624 Phone: 989-426-3430 |
Kourtney Cingano, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Quarter St, Gladwin, MI 48624 Phone: 988-246-6302 |
Morgan Bethany Baldwin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3270 Pratt Lake Rd, Gladwin, MI 48624 Phone: 989-426-7275 |
Julie L Schultz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 609 Quarter St, Gladwin, MI 48624 Phone: 989-246-6272 |
Alissa Guoan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3636 Eagleson Rd, Gladwin, MI 48624 Phone: 989-329-0390 |
Lisa Suzanne Brewer, MOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 Quarter St, Gladwin, MI 48624 Phone: 989-426-3430 |
Jerame Joseph Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 Quarter St, Gladwin, MI 48624 Phone: 989-246-6302 |