Courtney Lynn Grounds, | |
4400 E Michigan Blvd, Michigan City, IN 46360-3189 | |
(219) 879-6115 | |
Not Available |
Full Name | Courtney Lynn Grounds |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4400 E Michigan Blvd, Michigan City, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184255432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 31005910A (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 |
---|---|
Courtney Lynn Grounds, Po Box 781076, Detroit, MI 48278-9645 Ph: (317) 528-4800 | Courtney Lynn Grounds, 4400 E Michigan Blvd, Michigan City, IN 46360-3189 Ph: (219) 879-6115 |
Theresa V Jarvis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-878-8331 | |
Emily Michel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4400 E Michigan Blvd, Michigan City, IN 46360 Phone: 219-879-6115 | |
Anna R Salyer, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-210-1652 | |
Jennifer Victoria Remijas, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-878-8200 Fax: 219-878-8331 | |
Regina Danyel Dicristofaro, MSOTR,L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Us Highway 20, Michigan City, IN 46360 Phone: 219-872-7251 | |
Mr. Richel Otayde Pedrina, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 802 E Us Highway 20, Michigan City, IN 46360 Phone: 219-861-3121 |