| Advanced Health Alliance Llc | |
|
395 N Groesbeck Hwy, Suite L, Mount Clemens, MI 48043-1542 | |
| (586) 630-0474 | |
| (586) 630-0476 |
| Full Name | Advanced Health Alliance Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 395 N Groesbeck Hwy, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467904615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Laura L Kelahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043537228 PECOS PAC ID: 3274825476 Enrollment ID: I20160708000788 |
| Provider Name | John Michael M Vasquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720377047 PECOS PAC ID: 2365726155 Enrollment ID: I20170222001245 |
| Provider Name | Jacob M Mattia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447999529 PECOS PAC ID: 1557645512 Enrollment ID: I20221101001721 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Health Alliance Llc 395 N Groesbeck Hwy, Suite L, Mount Clemens, MI 48043-1542 Ph: (586) 630-0474 | Advanced Health Alliance Llc 395 N Groesbeck Hwy, Suite L, Mount Clemens, MI 48043-1542 Ph: (586) 630-0474 |
Surekha Samel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Michelle Lewinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Shabbir Hussain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 198 S Main St Ste 1, Mount Clemens, MI 48043 Phone: 586-477-1402 | |
Elizabath Shabu, Physical Therapist Medicare: Medicare Enrolled Practice Location: 243 Cass Ave Ste A, Mount Clemens, MI 48043 Phone: 586-783-7590 | |
Gary Lutes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Mr. Jose Luis C. Escudero, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-2044 | |
Heather Piper, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |