Michelle N Baum, OTR | |
4407 Amarillo St, Blytheville, AR 72315-5702 | |
(870) 532-2229 | |
Not Available |
Full Name | Michelle N Baum |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4407 Amarillo St, Blytheville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942644794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR2601 (Arkansas) | Primary |
Provider Name | Theraplay4kidz, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750727798 PECOS PAC ID: 3476823972 Enrollment ID: O20190321000727 |
Mailing Address | Practice Location Address |
---|---|
Michelle N Baum, OTR 9 Ivy Ln, Manalapan, NJ 07726-8321 Ph: (908) 216-2782 | Michelle N Baum, OTR 4407 Amarillo St, Blytheville, AR 72315-5702 Ph: (870) 532-2229 |
Justino Mario C Dublois, Jr., Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 | |
Sinu K George, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 | |
Christine Banas Soriano, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo St, Blytheville, AR 72315 Phone: 870-532-2229 Fax: 870-532-8237 | |
Ma Cedeno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4407 Amarillo Street, Blytheville, AR 72315 Phone: 870-532-2229 Fax: 870-532-8237 |