Courtney Cornwall, | |
3111 Electric Ave, Port Huron, MI 48060-8127 | |
(810) 985-8900 | |
Not Available |
Full Name | Courtney Cornwall |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3111 Electric Ave, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306596457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | St Clair County Community Mental Health Authority |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20040831000305 |
Mailing Address | Practice Location Address |
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Courtney Cornwall, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: () - | Courtney Cornwall, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900 |
Leslie Arendoski-mcmahan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3306 Fanone Dr, Port Huron, MI 48060 Phone: 810-434-0570 | |
Kristi L Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St, Port Huron, MI 48060 Phone: 810-488-8380 | |
Mr. Kevin R Papenfus, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste C, Port Huron, MI 48060 Phone: 810-488-8381 | |
Mrs. Nicole Schott, MSOT, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 | |
Stacey Randall-weir, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Beard St, Port Huron, MI 48060 Phone: 810-982-9500 | |
Cortney L Uresti, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste C, Port Huron, MI 48060 Phone: 810-429-6794 | |
Melane Kerry, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 |