Hailey Tallman, MS, OTR/L | |
1159 E M 21, Owosso, MI 48867-9037 | |
(989) 607-0070 | |
Not Available |
Full Name | Hailey Tallman |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1159 E M 21, Owosso, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932804580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201013293 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Hailey Tallman, MS, OTR/L Po Box 412031, Boston, MA 02241-2031 Ph: (888) 830-4125 | Hailey Tallman, MS, OTR/L 1159 E M 21, Owosso, MI 48867-9037 Ph: (989) 607-0070 |
Caitlin Marie Walker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-723-5211 Fax: 989-729-4952 | |
Angela Raylynne Porta, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-506-1109 | |
Kevin Davis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-729-4755 | |
Ms. Kimberly Ann Dekoski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 | |
Karry Lynn Wilson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 Caledonia Drive, Owosso, MI 48867 Phone: 989-743-3491 | |
Kasia Smith, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1159 E M 21, Owosso, MI 48867 Phone: 989-607-0261 | |
Melissa Dohring, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 |