Adam Richard Ahlgren, | |
2525 Demille Blvd, Lapeer, MI 48446 | |
(810) 245-9300 | |
(810) 538-4746 |
Full Name | Adam Richard Ahlgren |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 2525 Demille Blvd, Lapeer, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316249295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | 5201007920 (Michigan) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20200324001076 |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942829064 PECOS PAC ID: 2163339722 Enrollment ID: O20200618000474 |
Mailing Address | Practice Location Address |
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Adam Richard Ahlgren, 2525 Demille Blvd, Lapeer, MI 48446 Ph: (810) 245-9300 | Adam Richard Ahlgren, 2525 Demille Blvd, Lapeer, MI 48446 Ph: (810) 245-9300 |
Jennifer Nolan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Maria Peplinski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Ms. Megan Marie Rutledge, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2403 Yorkshire Dr, Lapeer, MI 48446 Phone: 810-441-9629 Fax: 586-774-6005 | |
Kavita Suryavanshi, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 W Nepessing St, Suite B, Lapeer, MI 48446 Phone: 810-245-1900 Fax: 810-245-9080 | |
Brooke Lubahn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Kylie Nicole Williams, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1455 Suncrest Dr, Lapeer, MI 48446 Phone: 810-664-8571 |