| Arcadia Center For Occupational Therapy, Llc | |
|
605 Howard St Kalamazoo MI 49008-1919 | |
| (269) 323-8770 | |
| (269) 215-8020 |
| Full Name | Arcadia Center For Occupational Therapy, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 605 Howard St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Wendy S Horton-bierema (OWNER) |
| Authorized Official Contact | 2693238770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcadia Center For Occupational Therapy, Llc 605 Howard St Kalamazoo MI 49008-1919 Ph: (269) 323-8770 | Arcadia Center For Occupational Therapy, Llc 605 Howard St Kalamazoo MI 49008-1919 Ph: (269) 323-8770 |
| NPI Number | 1790059111 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Medicare PECOS PAC ID | 6103088653 |
|---|---|
| Medicare Enrollment ID | O20120430000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790059111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Wendy Sue Horton-bierema |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598764219 PECOS PAC ID: 9638331184 Enrollment ID: I20120430000780 |
| Provider Name | Marlise R Deshane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124266861 PECOS PAC ID: 5496995722 Enrollment ID: I20130710000758 |
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