| Amanda Fox, OTD, OTR/L | |
|
200 Renaissance Ctr # 1202, Detroit, MI 48243-1300 | |
| (313) 334-4302 | |
| Not Available |
| Full Name | Amanda Fox |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 200 Renaissance Ctr # 1202, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477231512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201013504 (Michigan) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Fox, OTD, OTR/L 2335 N Garden Ct, Jenison, MI 49428-8738 Ph: () - | Amanda Fox, OTD, OTR/L 200 Renaissance Ctr # 1202, Detroit, MI 48243-1300 Ph: (313) 334-4302 |
Mr. Mohamed Ibrahim Bazzi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 810-333-1822 | |
Molly Ann James, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11000 W Mcnichols Rd Ste 320, Detroit, MI 48221 Phone: 313-340-4442 | |
Jarin Jaigirdar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9500 Grand River Ave, Detroit, MI 48204 Phone: 313-491-7920 | |
Ms. Taleshia Moss, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2295 Chene, Detroit, MI 48207 Phone: 313-923-5816 | |
Ms. Alanna Giordano, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 | |
Madison Muir, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1203 | |
Kelsey Jackson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 816-805-0963 |