Manohar D Koche, BACHELORS DEGREE OT | |
3181 Prairie St Sw Ste 102, Grandville, MI 49418-2076 | |
(616) 249-3545 | |
(616) 249-3549 |
Full Name | Manohar D Koche |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 3181 Prairie St Sw Ste 102, Grandville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942218235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201006029 (Michigan) | Primary |
Provider Name | Therapy Management Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407293640 PECOS PAC ID: 2961630645 Enrollment ID: O20140103000154 |
Mailing Address | Practice Location Address |
---|---|
Manohar D Koche, BACHELORS DEGREE OT 2493 Forest Meadows Ct Se, Grand Rapids, MI 49546-7931 Ph: (616) 942-8041 | Manohar D Koche, BACHELORS DEGREE OT 3181 Prairie St Sw Ste 102, Grandville, MI 49418-2076 Ph: (616) 249-3545 |
Ashley Marie Nichoson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7271 Kenowa Ave Sw, Grandville, MI 49418 Phone: 616-773-0531 | |
Lisa Ellis, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-534-5487 | |
Holly Cieslinski, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlines Ave, Grandville, MI 49418 Phone: 616-531-5025 | |
Alyssa Christine Davidson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3181 Prairie St Sw Ste 115, Grandville, MI 49418 Phone: 616-260-3121 | |
Caroline Markvluwer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2855 44th St Sw Ste 160, Grandville, MI 49418 Phone: 616-379-9887 | |
Kerri Lindeman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Del Mar Dr Sw, Grandville, MI 49418 Phone: 616-377-2283 | |
Next Adventure-pediatric Occupational Therapy Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3181 Prairie St Sw Ste 115, Grandville, MI 49418 Phone: 616-207-3856 |