Shannon Elizabeth Funk, OTRL | |
575 N Madison St, Marshall, MI 49068-1148 | |
(269) 781-4281 | |
Not Available |
Full Name | Shannon Elizabeth Funk |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 575 N Madison St, Marshall, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881251825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201010569 (Michigan) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20200923001962 |
Mailing Address | Practice Location Address |
---|---|
Shannon Elizabeth Funk, OTRL 5370 E C Ave, Richland, MI 49083-9514 Ph: (630) 750-4051 | Shannon Elizabeth Funk, OTRL 575 N Madison St, Marshall, MI 49068-1148 Ph: (269) 781-4281 |
Jodi Klein, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 575 N Madison St, Marshall, MI 49068 Phone: 269-781-4281 | |
Katherine Emily Smith, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13697 15 Mile Rd, Marshall, MI 49068 Phone: 269-781-3859 | |
Hilary Phelps, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 879 E Michigan Ave, Marshall, MI 49068 Phone: 269-781-4251 | |
Shane Allen, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 823 W Michigan Ave, Marshall, MI 49068 Phone: 269-248-4300 Fax: 269-781-5505 | |
Aaron Paul Swift, MSOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1404 Okeefe Rd, Marshall, MI 49068 Phone: 269-986-2631 | |
Brandon Mazzola, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 823 W Michigan Ave, Marshall, MI 49068 Phone: 269-248-4300 Fax: 269-781-5505 | |
Morgan Ann Greenman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 879 E Michigan Ave, Marshall, MI 49068 Phone: 269-781-4251 |