| Amanda P Zullo, OTRL | |
|
2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 | |
| (517) 706-0421 | |
| (517) 706-0423 |
| Full Name | Amanda P Zullo |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 2378 Woodlake Dr Ste 280, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487157418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 5201010050 (Michigan) | Primary |
| Provider Name | Coastal Play 2 Grow Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750828364 PECOS PAC ID: 6002279320 Enrollment ID: O20230901002952 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda P Zullo, OTRL 4285 Development Drive, Lansing, MI 48911 Ph: (517) 706-0421 | Amanda P Zullo, OTRL 2378 Woodlake Dr Ste 280, Okemos, MI 48864-6016 Ph: (517) 706-0421 |
Paige Larsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr, Suite 280, Okemos, MI 48864 Phone: 517-706-0421 | |
Stephanie Conklin, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1383 Fax: 517-318-0258 | |
Amanda Ward, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3860 Dobie Rd, Okemos, MI 48864 Phone: 517-381-6100 | |
Stacey Lapine, MSOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr, Suite 280, Okemos, MI 48864 Phone: 517-706-0421 | |
Marc Wiltse, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1383 | |
Marlena Nelsey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 810-853-8600 | |
Mr. Kyle Harbin, MBA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3680 Dobie Rd, Okemos, MI 48864 Phone: 517-381-6100 |