| Nicole Hajdas, | |
|
17150 Waterloo St, Grosse Pointe, MI 48230-1201 | |
| (313) 473-4700 | |
| Not Available |
| Full Name | Nicole Hajdas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 17150 Waterloo St, Grosse Pointe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639662448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501008306 (Michigan) | Primary |
| Provider Name | Total Fitness Connection,pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336241538 PECOS PAC ID: 5890609788 Enrollment ID: O20031114000538 |
| Provider Name | Tfc Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164620316 PECOS PAC ID: 0244324408 Enrollment ID: O20070919000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Hajdas, 17150 Waterloo St, Grosse Pointe, MI 48230-1201 Ph: (313) 473-4700 | Nicole Hajdas, 17150 Waterloo St, Grosse Pointe, MI 48230-1201 Ph: (313) 473-4700 |
Ansu Varghese, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Adrienne Marie Dusky, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1629 | |
Jennifer Strackbein, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1000 | |
Mr. David Court, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17150 Waterloo St, Grosse Pointe, MI 48230 Phone: 313-343-4700 | |
Mrs. Noelle Beaudry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17150 Waterloo St, Grosse Pointe, MI 48230 Phone: 313-473-4730 | |
Monica Juntila, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17150 Waterloo St, Grosse Pointe, MI 48230 Phone: 313-473-4730 | |
Megan Marie Rousso, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17141 Kercheval Ave, Grosse Pointe, MI 48230 Phone: 313-642-4980 Fax: 313-642-4985 |