| Mandalin Elizabeth Gray, OTRL | |
|
275 N Caledonia Dr, Owosso, MI 48867-8844 | |
| (989) 743-3491 | |
| Not Available |
| Full Name | Mandalin Elizabeth Gray |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 7 Years |
| Location | 275 N Caledonia Dr, Owosso, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477117992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201010467 (Michigan) | Primary |
| Provider Name | Powerback Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912226366 PECOS PAC ID: 2365359932 Enrollment ID: O20101207000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandalin Elizabeth Gray, OTRL 1879 Wilson Ave, Saginaw, MI 48638-4798 Ph: Not Available | Mandalin Elizabeth Gray, OTRL 275 N Caledonia Dr, Owosso, MI 48867-8844 Ph: (989) 743-3491 |
Caitlin Marie Walker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-723-5211 Fax: 989-729-4952 |
Angela Raylynne Porta, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-506-1109 |
Kevin Davis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 826 W King St, Owosso, MI 48867 Phone: 989-729-4755 |
Ms. Kimberly Ann Dekoski, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 |
Karry Lynn Wilson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 Caledonia Drive, Owosso, MI 48867 Phone: 989-743-3491 |
Lorissa Butko, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 |
Kasia Smith, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1159 E M 21, Owosso, MI 48867 Phone: 989-607-0261 |