| Shooting Star Feeding And Swallowing Therapy | |
|
213 N Sheldon Rd, Plymouth, MI 48170-1524 | |
| (313) 478-1698 | |
| Not Available |
| Full Name | Shooting Star Feeding And Swallowing Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 213 N Sheldon Rd, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831855071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Stacy Lynn Panetta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891915765 PECOS PAC ID: 1951793801 Enrollment ID: I20220301000434 |
| Provider Name | Courtney Engel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982107413 PECOS PAC ID: 6901270057 Enrollment ID: I20230313002531 |
| Provider Name | Tara Selter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760866909 PECOS PAC ID: 9032424189 Enrollment ID: I20230518002936 |
| Mailing Address | Practice Location Address |
|---|---|
| Shooting Star Feeding And Swallowing Therapy 6647 Brookside Ln, Plymouth, MI 48170-5809 Ph: (313) 478-1698 | Shooting Star Feeding And Swallowing Therapy 213 N Sheldon Rd, Plymouth, MI 48170-1524 Ph: (313) 478-1698 |
Ulysses Monroe, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Jessica A Kenyon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15870 N Haggerty Rd, Plymouth, MI 48170 Phone: 734-420-7917 | |
Nikkia Wheeler, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-454-0866 | |
Sylvia Sartorelli, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 729 W Ann Arbor Trl, Plymouth, MI 48170 Phone: 734-398-3444 | |
Whooby Deriveau, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Dan Diamond, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 S Main St, Suite 111, Plymouth, MI 48170 Phone: 734-354-8000 Fax: 734-207-5291 | |
Alexa Edwards, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |