Daniel Hicks, | |
2050 S Washington Rd, Holt, MI 48842-8631 | |
(734) 718-2947 | |
Not Available |
Full Name | Daniel Hicks |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 2050 S Washington Rd, Holt, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588481196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Tmi East Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011 |
Mailing Address | Practice Location Address |
---|---|
Daniel Hicks, 504 E Jefferson St, Grand Ledge, MI 48837-1752 Ph: (931) 446-6414 | Daniel Hicks, 2050 S Washington Rd, Holt, MI 48842-8631 Ph: (734) 718-2947 |
Ms. Sydney Abigayle Stiles, MSOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2288 Anchor Ct, Holt, MI 48842 Phone: 517-881-2135 | |
Kelli Abuan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 | |
Elevate Pediatric Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1773 Enfield Dr, Holt, MI 48842 Phone: 517-899-9639 |