| Ruby Ronesse Dockery- Boykin, OTD | |
|
30801 Jefferson Ave, Saint Clair Shores, MI 48082-1732 | |
| (586) 201-7737 | |
| Not Available |
| Full Name | Ruby Ronesse Dockery- Boykin |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 30801 Jefferson Ave, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922547173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 5201014072 (Michigan) | Primary |
| Provider Name | Flourishing Lives Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699377960 PECOS PAC ID: 7810300597 Enrollment ID: O20210120000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Ronesse Dockery- Boykin, OTD 30801 Jefferson Ave, Saint Clair Shores, MI 48082-1732 Ph: (586) 207-7379 | Ruby Ronesse Dockery- Boykin, OTD 30801 Jefferson Ave, Saint Clair Shores, MI 48082-1732 Ph: (586) 201-7737 |
Erica Loomis, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 26001 Jefferson Ave, Saint Clair Shores, MI 48081 Phone: 586-779-7000 | |
Sandra Aretha, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 23161 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-779-8892 Fax: 586-779-2869 | |
Melissa Junkulis, MOT, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30801 Jefferson Ave, Saint Clair Shores, MI 48082 Phone: 586-293-1234 | |
Genna Wilkie, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23715 Little Mack Ave Ste 200, Saint Clair Shores, MI 48080 Phone: 586-447-4070 Fax: 586-447-4069 | |
Celeste James, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30801 Jefferson Ave, Saint Clair Shores, MI 48082 Phone: 586-293-1234 | |
St. Clair Orthopaedics And Sports Medicine Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-773-1300 | |
Dr. Jessica Dawn Young, DOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26210 Harper Ave Ste 200, Saint Clair Shores, MI 48081 Phone: 888-485-8636 Fax: 586-218-3367 |