| Larson Pax Drzewicki, MA, CCC-SLP | |
|
1161 E Clark Rd Ste 360, Dewitt, MI 48820-7930 | |
| (517) 507-5525 | |
| Not Available |
| Full Name | Larson Pax Drzewicki |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1161 E Clark Rd Ste 360, Dewitt, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356050868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101007571 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Larson Pax Drzewicki, MA, CCC-SLP Po Box 412031, Boston, MA 02241-2031 Ph: (888) 830-4125 | Larson Pax Drzewicki, MA, CCC-SLP 1161 E Clark Rd Ste 360, Dewitt, MI 48820-7930 Ph: (517) 507-5525 |
Ms. Amanda Marie Lake, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St Ste C, Dewitt, MI 48820 Phone: 517-282-7779 Fax: 517-394-3604 | |
Madison Innes Brodoski, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 E Clark Rd Ste 360-a, Dewitt, MI 48820 Phone: 517-507-5525 Fax: 517-507-3085 | |
Practical Rehabilitation Services, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St Ste C, Dewitt, MI 48820 Phone: 855-777-9297 Fax: 517-394-3604 | |
Hannah Brunner, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1161 E Clark Rd Ste 360, Dewitt, MI 48820 Phone: 517-507-5525 | |
Faith June-marie Gray, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12800 Escanaba Dr, Dewitt, MI 48820 Phone: 517-669-7228 Fax: 517-669-5675 | |
Corinne Hoedeman, SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 124 E Washington St Ste C, Dewitt, MI 48820 Phone: 855-777-9297 |