Nicole Farrand, OTRL | |
400 North St W, Tawas City, MI 48763-9161 | |
(989) 362-8647 | |
Not Available |
Full Name | Nicole Farrand |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 400 North St W, Tawas City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679904213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201008432 (Michigan) | Primary |
225XG0600X | Occupational Therapist - Gerontology | 5201008432 (Michigan) | Secondary |
Provider Name | Premere Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245278639 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915 |
Mailing Address | Practice Location Address |
---|---|
Nicole Farrand, OTRL 5679 Towerline Rd, Hale, MI 48739 Ph: () - | Nicole Farrand, OTRL 400 North St W, Tawas City, MI 48763-9161 Ph: (989) 362-8647 |
Mrs. Adriana Maynard, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 N 5th Ave, Tawas City, MI 48763 Phone: 989-362-2211 | |
Barbara Lynette Berg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 408 N 5th Ave, Tawas City, MI 48763 Phone: 989-362-2211 | |
Karys Provoast, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 North St W, Tawas City, MI 48763 Phone: 989-362-8645 Fax: 989-362-4462 | |
Megan Podsiadlik, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Harris Ave, Tawas City, MI 48763 Phone: 989-362-4424 | |
Mrs. Suzanne Lynn Haslip, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 North St W, Tawas City, MI 48763 Phone: 989-362-8645 Fax: 989-362-4462 | |
Mrs. Stacy Seyfried, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 North St W, Tawas City, MI 48763 Phone: 989-362-8645 |