| Abigail Anne Hereau, PT, DPT, ATC | |
|
10483 Dixie Hwy, Holly, MI 48442-9311 | |
| (810) 498-2301 | |
| Not Available |
| Full Name | Abigail Anne Hereau |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10483 Dixie Hwy, Holly, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003277583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501020150 (Michigan) | Primary |
| Provider Name | Level 11 Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730317785 PECOS PAC ID: 8527104835 Enrollment ID: O20100422000188 |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Anne Hereau, PT, DPT, ATC 1345 Winding Ridge Dr Apt 3b, Grand Blanc, MI 48439-7573 Ph: (906) 399-4181 | Abigail Anne Hereau, PT, DPT, ATC 10483 Dixie Hwy, Holly, MI 48442-9311 Ph: (810) 498-2301 |
Anna Marie Bradley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Taylor Schultz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1016 N Saginaw St, Holly, MI 48442 Phone: 248-634-4424 Fax: 248-634-5995 | |
Heather Hepper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 Fax: 810-771-7685 | |
Erin Uehara, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Daniel Pillivant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Kelsey Paul, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 |