| Samuel Cole Jacobson, OTRL | |
|
43279 Schoenherr Rd, Sterling Heights, MI 48313-1957 | |
| (313) 278-4601 | |
| Not Available |
| Full Name | Samuel Cole Jacobson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 43279 Schoenherr Rd, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427801471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | Z3WA3DJZ (Michigan) | Primary |
| Provider Name | Dearborn Speech And Sensory Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033510821 PECOS PAC ID: 6901128487 Enrollment ID: O20141212000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Cole Jacobson, OTRL 6861 Richmond Dr, Troy, MI 48098-1594 Ph: (248) 895-3797 | Samuel Cole Jacobson, OTRL 43279 Schoenherr Rd, Sterling Heights, MI 48313-1957 Ph: (313) 278-4601 |
Sarah Jerome, OTD, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 38257 Mound Rd Bldg D, Sterling Heights, MI 48310 Phone: 313-278-4601 | |
Barbara Jean Perry, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34643 Ketsin Dr, Sterling Heights, MI 48310 Phone: 586-978-2280 Fax: 586-978-8407 | |
Kelly Ann Wiese, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 41155 Pond View Dr, Sterling Heights, MI 48314 Phone: 586-571-9626 | |
Jessica Houghton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43133 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-250-2096 Fax: 586-731-3861 | |
Ms. Stephanie Ann Gierke, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 43239 Schoenherr Rd, Sterling Heights, MI 48313 Phone: 586-323-2957 Fax: 586-323-0022 | |
Dpt Holdings Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 35376 Van Dyke Ave, Sterling Heights, MI 48312 Phone: 800-974-4378 Fax: 630-515-1536 | |
Forrest Lewis Washburn, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 13331 15 Mile Rd, Sterling Heights, MI 48312 Phone: 586-788-0702 |