Sophia Burroughs, | |
851 Penniman Ave, Plymouth, MI 48170-1621 | |
(248) 349-9595 | |
(989) 509-5965 |
Full Name | Sophia Burroughs |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 851 Penniman Ave, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780367102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201013566 (Michigan) | Primary |
Provider Name | Pt Solutions Of Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487275483 PECOS PAC ID: 9436575552 Enrollment ID: O20200819001449 |
Mailing Address | Practice Location Address |
---|---|
Sophia Burroughs, 851 Penniman Ave, Plymouth, MI 48170-1621 Ph: (248) 349-9595 | Sophia Burroughs, 851 Penniman Ave, Plymouth, MI 48170-1621 Ph: (248) 349-9595 |
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 |