Jordan Elizabeth Gardner, OTRL | |
30821 Barrington St, Madison Heights, MI 48071-1871 | |
(248) 291-5397 | |
Not Available |
Full Name | Jordan Elizabeth Gardner |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 30821 Barrington St, Madison Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073960472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201009433 (Michigan) | Primary |
Provider Name | Healing Haven Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790110187 PECOS PAC ID: 9537429113 Enrollment ID: O20180130000195 |
Mailing Address | Practice Location Address |
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Jordan Elizabeth Gardner, OTRL 3135 Professional Dr, Ann Arbor, MI 48104-5131 Ph: () - | Jordan Elizabeth Gardner, OTRL 30821 Barrington St, Madison Heights, MI 48071-1871 Ph: (248) 291-5397 |
Miss Amy Emily Ansara, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1432 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-543-4886 Fax: 248-543-0479 | |
Denise Fisher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31125 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-582-8668 | |
Elaine Brenda Toenniges, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E 14 Mile Rd, Madison Heights, MI 48071 Phone: 248-743-9400 | |
Sharon Faye Ryan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 E 14 Mile Rd, Madison Heights, MI 48071 Phone: 248-743-9500 | |
Mrs. Michelle Lynn Mcgowan, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1432 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-397-5805 | |
Joa Kunkel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31125 Dequindre Rd, Madison Heights, MI 48071 Phone: 586-582-8668 |