Brenna Kirchhoff, | |
1540 S Logan St, Mishawaka, IN 46544-4739 | |
(574) 257-8629 | |
Not Available |
Full Name | Brenna Kirchhoff |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1540 S Logan St, Mishawaka, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801514815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31007390A (Indiana) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
Mailing Address | Practice Location Address |
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Brenna Kirchhoff, 230 Jr Achievement Dr Apt B106, Elkhart, IN 46516-3593 Ph: () - | Brenna Kirchhoff, 1540 S Logan St, Mishawaka, IN 46544-4739 Ph: (574) 257-8629 |
Hunter Freeman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60160 Bodnar Blvd, Mishawaka, IN 46544 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Christine Lybb Aragon, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4609 Grape Rd, Suite B7, Mishawaka, IN 46545 Phone: 269-268-5601 Fax: 888-370-2324 | |
Shelley Wiesel, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4609 Grape Rd, Ste B-7, Mishawaka, IN 46545 Phone: 574-360-8132 Fax: 888-370-2324 | |
Michael Wroblewski, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 W Edison Rd, Mishawaka, IN 46545 Phone: 574-931-2805 | |
Trevor David Manspeaker, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Hickory Rd, Mishawaka, IN 46545 Phone: 574-252-7225 | |
Pamela K. Murphy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Tanglewood Ln, Mishawaka, IN 46545 Phone: 574-277-4310 | |
Kathleen Ann Zintsmaster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200 |