| Shanay Giasson, | |
|
46200 Port St, Plymouth, MI 48170-6048 | |
| (734) 454-0866 | |
| Not Available |
| Full Name | Shanay Giasson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 46200 Port St, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962172411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Mini Mitten Pediatric Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528655826 PECOS PAC ID: 7113334996 Enrollment ID: O20210323000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanay Giasson, 24335 Waltz Rd, New Boston, MI 48164-9167 Ph: () - | Shanay Giasson, 46200 Port St, Plymouth, MI 48170-6048 Ph: (734) 454-0866 |
Ulysses Monroe, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Jessica A Kenyon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15870 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-420-7917 | |
Nikkia Wheeler, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-454-0866 | |
Sylvia Sartorelli, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 729 W Ann Arbor Trl, Plymouth, MI 48170 Phone: 734-398-3444 | |
Whooby Deriveau, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Dan Diamond, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 S Main St, Suite 111, Plymouth, MI 48170 Phone: 734-354-8000 Fax: 734-207-5291 | |
Alexa Edwards, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |