Mrs Kristen Nicole Bourns, OTRL | |
7025 N Lilley Rd, Canton, MI 48187-3533 | |
(734) 394-3100 | |
Not Available |
Full Name | Mrs Kristen Nicole Bourns |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Gerontology |
Location | 7025 N Lilley Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053880237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XG0600X | Occupational Therapist - Gerontology | 5201008522 (Michigan) | Primary |
Provider Name | Encore Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221108002876 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen Nicole Bourns, OTRL 7025 N Lilley Rd, Canton, MI 48187-3533 Ph: (734) 394-3100 | Mrs Kristen Nicole Bourns, OTRL 7025 N Lilley Rd, Canton, MI 48187-3533 Ph: (734) 394-3100 |
Jessica Lynn Friend, OTR, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7272 N Sheldon Rd, Canton, MI 48187 Phone: 248-800-2928 Fax: 248-800-7272 | |
Sue Mary Spencer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100 | |
Michelle Dawn Zelek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45900 Geddes Rd, Canton, MI 48188 Phone: 734-879-4100 | |
Carlo Nagtalon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1240 Stacy Dr, Canton, MI 48188 Phone: 586-381-6308 | |
Pooja Daduvai, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4372 Sherwood Cir, Canton, MI 48188 Phone: 734-495-0537 Fax: 734-495-0537 | |
Alina Marie Kooperman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5969 N Canton Center Rd, Canton, MI 48187 Phone: 877-407-3422 Fax: 877-407-4329 |