| Amy L Wisenbaugh, OTD, OTR/L | |
|
6209 W Saginaw Hwy Ste A&b, Lansing, MI 48917-2491 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Amy L Wisenbaugh |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 6209 W Saginaw Hwy Ste A&b, Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639923113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201013867 (Michigan) | Primary |
| Provider Name | Dpt Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20160930000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy L Wisenbaugh, OTD, OTR/L 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Amy L Wisenbaugh, OTD, OTR/L 6209 W Saginaw Hwy Ste A&b, Lansing, MI 48917-2491 Ph: (800) 974-4378 |
Alicia Blondell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 E Provincial House Dr, Lansing, MI 48910 Phone: 517-272-4029 | |
Elizabeth Corder, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4323 W Willow Hwy, Lansing, MI 48917 Phone: 810-869-2369 | |
Kirsten Paige Schneider, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-253-2577 | |
Jobi Mccarthy, OTD, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 836 Centennial Way Ste 160, Lansing, MI 48917 Phone: 517-798-3677 | |
Anne Shivley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3315 E Michigan Ave Ste 4, Lansing, MI 48912 Phone: 517-364-8600 | |
Cynthia Grider, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 812 E Jolly Rd, Ste 216, Lansing, MI 48910 Phone: 517-346-9531 Fax: 517-346-8291 | |
Gail Ann Shafer, PHD, OTR, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4052 Legacy Pkwy Ste 100, Lansing, MI 48911 Phone: 517-394-0775 |