| Oakwood Creative Care Inc. | |
|
247 N Macdonald 102 Mesa AZ 85201-6622 | |
| (480) 464-1061 | |
| (480) 464-1166 |
| Full Name | Oakwood Creative Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 247 N Macdonald, Mesa, Arizona |
| Authorized Official Name and Position | Sherri Friend (PRESIDENT AND CEO) |
| Authorized Official Contact | 4804641061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwood Creative Care Inc. 6915 E Main St Mesa AZ 85207-8229 Ph: (480) 464-1061 | Oakwood Creative Care Inc. 247 N Macdonald 102 Mesa AZ 85201-6622 Ph: (480) 464-1061 |
| NPI Number | 1114388626 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 5991128860 |
|---|---|
| Medicare Enrollment ID | O20200710000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114388626 | NPI | - | NPPES |
| Provider Name | Lauren E Braley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164946166 PECOS PAC ID: 2769757152 Enrollment ID: I20171011001870 |
| Provider Name | Monika Lukasiewicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891029161 PECOS PAC ID: 9335493220 Enrollment ID: I20191001001517 |
| Provider Name | Charles Milton Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659991461 PECOS PAC ID: 9830506914 Enrollment ID: I20210408000866 |
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