| Practical Rehabilitation Services, Llc | |
|
124 E Washington St Ste C, Dewitt, MI 48820-8826 | |
| (855) 777-9297 | |
| (517) 394-3604 |
| Full Name | Practical Rehabilitation Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 124 E Washington St Ste C, Dewitt, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306155742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Amanda M Lake |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184954000 PECOS PAC ID: 1355520065 Enrollment ID: I20110127000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Rehabilitation Services, Llc Po Box 794, Okemos, MI 48805-0794 Ph: (517) 282-7779 | Practical Rehabilitation Services, Llc 124 E Washington St Ste C, Dewitt, MI 48820-8826 Ph: (855) 777-9297 |
Kenda Lee Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3147 W Herbison Rd, Dewitt, MI 48820 Phone: 304-564-3411 Fax: 517-668-3343 |
Ms. Amanda Marie Lake, MA CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled 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: May Accept Medicare Assignments Practice Location: 1161 E Clark Rd Ste 360-a, Dewitt, MI 48820 Phone: 517-507-5525 Fax: 517-507-3085 |
Larson Pax Drzewicki, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 E Clark Rd Ste 360, Dewitt, MI 48820 Phone: 517-507-5525 |
Hannah Brunner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare 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 |