Micah Nicole Collins, OTR/L | |
20783 N 83rd Ave Ste 103, Peoria, AZ 85382-7430 | |
(623) 444-8880 | |
Not Available |
Full Name | Micah Nicole Collins |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 20783 N 83rd Ave Ste 103, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568244317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTH-009368 (Arizona) | Primary |
Provider Name | Brentom, Llc, |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023540531 PECOS PAC ID: 8224387816 Enrollment ID: O20180815000343 |
Mailing Address | Practice Location Address |
---|---|
Micah Nicole Collins, OTR/L 13354 W Jesse Red Dr, Peoria, AZ 85383-7900 Ph: (623) 696-2414 | Micah Nicole Collins, OTR/L 20783 N 83rd Ave Ste 103, Peoria, AZ 85382-7430 Ph: (623) 444-8880 |
Michelle Moore, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12679 W Desert Mirage Dr, Peoria, AZ 85383 Phone: 719-217-7822 | |
Sharkks Therapy Occupational Therapist Medicare: Medicare Enrolled Practice Location: 20783 N 83rd Ave Ste 103, Peoria, AZ 85382 Phone: 623-444-8880 Fax: 623-444-9282 | |
Courtney Jiura, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9970 W Beardsley Rd, Peoria, AZ 85382 Phone: 623-412-5400 | |
Susan T Gregg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8765 W Kelton Ln, Suite 116, Peoria, AZ 85382 Phone: 623-977-4911 | |
Megan Ziegler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8764 W Adam Ave, Peoria, AZ 85382 Phone: 623-341-4723 | |
Kristin Lee Juhas, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7048 W Eagle Ridge Ln, Peoria, AZ 85383 Phone: 623-825-1489 | |
Chris Paclibar, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 18441 N 87th Ave, Peoria, AZ 85382 Phone: 623-878-0087 |