| Angela Marie Shannahan, OTR/L | |
|
2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 | |
| (616) 447-7799 | |
| Not Available |
| Full Name | Angela Marie Shannahan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2251 E Paris Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649909896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201012919 (Michigan) | Primary |
| Provider Name | Theraplay Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902176258 PECOS PAC ID: 7113174442 Enrollment ID: O20120821001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Marie Shannahan, OTR/L 3310 S Creek Dr Se Apt 304, Kentwood, MI 49512-3042 Ph: (734) 634-9813 | Angela Marie Shannahan, OTR/L 2251 E Paris Ave Se, Grand Rapids, MI 49546-2431 Ph: (616) 447-7799 |
Deborah E. Ruediger, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Monroe Ave Ne, Grand Rapids, MI 49505 Phone: 877-864-8171 | |
Jessica Michelle Flood, MS, OTR/L, CBIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne # Mc279, Grand Rapids, MI 49525 Phone: 616-430-4306 | |
Melissa Elizabeth Crow, MA, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 4218, Grand Rapids, MI 49503 Phone: 616-267-2437 | |
Jennifer Sawyer, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Kenmoor Ave Se Ste 110, Grand Rapids, MI 49546 Phone: 616-591-2905 | |
Leah Gibson, MS, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Fulton St E, Grand Rapids, MI 49546 Phone: 616-949-4971 | |
Lindsay Chapman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2251 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-447-7799 | |
Laura L Bucks, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-954-6483 |