Angela Raylynne Porta, OTRL | |
1555 Industrial Dr, Owosso, MI 48867-9775 | |
(989) 506-1109 | |
Not Available |
Full Name | Angela Raylynne Porta |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1555 Industrial Dr, Owosso, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083913628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201007653 (Michigan) | Primary |
Provider Name | Shiawassee County Community Mental Health Authority |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497749279 PECOS PAC ID: 6002702750 Enrollment ID: O20040227000542 |
Mailing Address | Practice Location Address |
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Angela Raylynne Porta, OTRL 611 Walnut St, Corunna, MI 48817-1001 Ph: (989) 506-1109 | Angela Raylynne Porta, OTRL 1555 Industrial Dr, Owosso, MI 48867-9775 Ph: (989) 506-1109 |
Caitlin Marie Walker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-723-5211 Fax: 989-729-4952 | |
Kevin Davis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-729-4755 | |
Ms. Kimberly Ann Dekoski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 | |
Karry Lynn Wilson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 Caledonia Drive, Owosso, MI 48867 Phone: 989-743-3491 | |
Kasia Smith, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1159 E M 21, Owosso, MI 48867 Phone: 989-607-0261 | |
Melissa Dohring, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 |