Jackie Mccullough, MOTR/L | |
19135 Holdren St, Brownstown, MI 48173-9307 | |
(313) 999-0873 | |
Not Available |
Full Name | Jackie Mccullough |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 19135 Holdren St, Brownstown, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841781606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Therapy Management Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
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 |
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Jackie Mccullough, MOTR/L 28349 Joy Rd, Westland, MI 48185-5524 Ph: () - | Jackie Mccullough, MOTR/L 19135 Holdren St, Brownstown, MI 48173-9307 Ph: (313) 999-0873 |
Makenzie Breken Zook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23537 Telegraph Rd, Brownstown, MI 48134 Phone: 313-278-4601 | |
Ashlee Richardson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23537 Telegraph Rd, Brownstown, MI 48134 Phone: 313-278-4601 | |
Julie A Spuhler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21400 Dix Road, Brownstown, MI 48183 Phone: 734-479-2434 |