Jaclyn Grad Ot Llc | |
11325 Blackburn St, Livonia, MI 48150-2853 | |
(734) 292-1860 | |
Not Available |
Full Name | Jaclyn Grad Ot Llc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 11325 Blackburn St, Livonia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235817206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Jaclyn Grad |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144699448 PECOS PAC ID: 9335556190 Enrollment ID: I20210324000838 |
Mailing Address | Practice Location Address |
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Jaclyn Grad Ot Llc 11325 Blackburn St, Livonia, MI 48150-2853 Ph: (734) 292-1860 | Jaclyn Grad Ot Llc 11325 Blackburn St, Livonia, MI 48150-2853 Ph: (734) 292-1860 |
Mrs. Sakina Bohra, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 20319 Farmington Rd Bldg E, Livonia, MI 48152 Phone: 248-476-8911 Fax: 248-476-8913 | |
Mary Ellen Daniel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29200 Schoolcraft Rd, Livonia, MI 48150 Phone: 734-523-1070 | |
Kelly Nicole Zorn, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 37650 Professional Center Dr Ste 105a, Livonia, MI 48154 Phone: 734-943-3838 | |
Mrs. Heather R Dupuis, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 38935 Ann Arbor Rd Ste 150, Livonia, MI 48150 Phone: 248-886-9540 | |
Lisa Marie Barton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-1730 | |
Shelley R Harenski, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34095 Plymouth Rd, Livonia, MI 48150 Phone: 615-778-4066 | |
Lynn Anne Brown, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17410 College Pkwy Ste 150, Livonia, MI 48152 Phone: 877-270-7888 |