Bradley Conner, | |
2301 Wenona Dr, Wixom, MI 48393-2152 | |
(248) 974-2808 | |
Not Available |
Full Name | Bradley Conner |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2301 Wenona Dr, Wixom, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265281299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201013597 (Michigan) | Primary |
Provider Name | Empowerme Rehabilitation Illinois Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548865876 PECOS PAC ID: 2365718277 Enrollment ID: O20210205002328 |
Mailing Address | Practice Location Address |
---|---|
Bradley Conner, 2301 Wenona Dr, Wixom, MI 48393-2152 Ph: (248) 974-2808 | Bradley Conner, 2301 Wenona Dr, Wixom, MI 48393-2152 Ph: (248) 974-2808 |
Mr. Ranjan Sen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31207 Lakeview Blvd, Apt. 2207, Wixom, MI 48393 Phone: 248-624-7133 Fax: 360-323-4152 | |
Kaitlyn Langolf, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 29600 S Wixom Rd, Wixom, MI 48393 Phone: 248-960-1600 Fax: 248-960-9755 | |
Mrs. Sheila Mary Malone, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 29600 Wixom Rd, Wixom, MI 48393 Phone: 248-960-1600 Fax: 248-960-9755 |