| Owen Osborn, | |
|
24466 Red Arrow Hwy Ste D, Mattawan, MI 49071-9804 | |
| (269) 359-7353 | |
| Not Available |
| Full Name | Owen Osborn |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 24466 Red Arrow Hwy Ste D, Mattawan, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144940685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501301947 (Michigan) | Primary |
| Provider Name | Alliance Physical Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649216144 PECOS PAC ID: 8921065707 Enrollment ID: O20041214000041 |
| Provider Name | Advent Rehabilitation, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139 |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Osborn, 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Owen Osborn, 24466 Red Arrow Hwy Ste D, Mattawan, MI 49071-9804 Ph: (269) 359-7353 |
Shannon L Logsdon, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071 Phone: 269-668-5930 Fax: 269-668-5921 | |
Mrs. Cecilia Liz Vives Vasquez, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23701 Red Arrow Hwy, Mattawan, MI 49090 Phone: 269-668-7770 Fax: 269-668-7770 | |
Dr. Ian Heinicke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23211 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-668-5930 | |
Mr. Kevin James Lacey, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23211 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-668-5930 Fax: 269-668-5921 | |
Jeanne Marie Nystrom, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23332 Red Arrow Hwy, Mattawan, MI 49071 Phone: 269-283-5349 |