Kelly Luczak, OT | |
6800 W Maple Rd, West Bloomfield, MI 48322-2792 | |
(248) 788-5300 | |
Not Available |
Full Name | Kelly Luczak |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 6800 W Maple Rd, West Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871062943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Bluestone Childrens Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841781531 PECOS PAC ID: 8325375561 Enrollment ID: O20190809001477 |
Mailing Address | Practice Location Address |
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Kelly Luczak, OT 6800 W Maple Rd, West Bloomfield, MI 48322-2792 Ph: () - | Kelly Luczak, OT 6800 W Maple Rd, West Bloomfield, MI 48322-2792 Ph: (248) 788-5300 |
Pemina Riben, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7125 Orchard Lake Rd Ste 201, West Bloomfield, MI 48322 Phone: 248-865-9418 | |
Madison Sokol, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-3113 | |
Mrs. Ada Ladelle Gallant, OTRL, LPTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6535 Drake Rd, West Bloomfield, MI 48322 Phone: 810-240-3453 | |
Pamela Kane, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Jamie M Stockdale, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6625 Daly Rd, West Bloomfield, MI 48322 Phone: 248-737-3430 | |
Erica Aittama, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Mrs. Rachel Cotner Sieferd, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6892 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-4300 |