| Gabrielle Tiesma, PT, DPT | |
|
2470 Collingwood St, Detroit, MI 48206-1500 | |
| (859) 324-6355 | |
| Not Available |
| Full Name | Gabrielle Tiesma |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2470 Collingwood St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326879644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303116 (Michigan) | Primary |
| 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 |
|---|---|
| Gabrielle Tiesma, PT, DPT 663 E Kirby St Apt 34, Detroit, MI 48202-4187 Ph: () - | Gabrielle Tiesma, PT, DPT 2470 Collingwood St, Detroit, MI 48206-1500 Ph: (859) 324-6355 |
Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174 | |
Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 | |
Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114 | |
Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744 | |
Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233 | |
Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 | |
Samantha Wenson Zinnecker, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 241 Madison St, Detroit, MI 48226 Phone: 248-797-9359 |