Life Cycles Therapy And Enrichment Center Pllc | |
1200 Martin Luther King Jr Blvd # A, Detroit, MI 48201-2478 | |
(313) 854-1189 | |
Not Available |
Full Name | Life Cycles Therapy And Enrichment Center Pllc |
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Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 1200 Martin Luther King Jr Blvd # A, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962058545 | NPI | - | NPPES |
Provider Name | Adrienne Rutherford |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538695804 PECOS PAC ID: 2466782925 Enrollment ID: I20190925003341 |
Mailing Address | Practice Location Address |
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Life Cycles Therapy And Enrichment Center Pllc 25999 Franklin Pointe Dr, Southfield, MI 48034-1567 Ph: (313) 854-1189 | Life Cycles Therapy And Enrichment Center Pllc 1200 Martin Luther King Jr Blvd # A, Detroit, MI 48201-2478 Ph: (313) 854-1189 |
Mr. Mohamed Ibrahim Bazzi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 810-333-1822 | |
Molly Ann James, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11000 W Mcnichols Rd Ste 320, Detroit, MI 48221 Phone: 313-340-4442 | |
Jarin Jaigirdar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9500 Grand River Ave, Detroit, MI 48204 Phone: 313-491-7920 | |
Ms. Taleshia Moss, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2295 Chene, Detroit, MI 48207 Phone: 313-923-5816 | |
Ms. Alanna Giordano, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 | |
Madison Muir, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1203 | |
Kelsey Jackson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 816-805-0963 |