Tessa Hagen, | |
945 E Sherman Blvd, Norton Shores, MI 49444-1805 | |
(231) 737-4374 | |
Not Available |
Full Name | Tessa Hagen |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 945 E Sherman Blvd, Norton Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245720283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201010181 (Michigan) | Primary |
Provider Name | Theraplay Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902176258 PECOS PAC ID: 7113174442 Enrollment ID: O20120821001080 |
Mailing Address | Practice Location Address |
---|---|
Tessa Hagen, 945 E Sherman Blvd, Norton Shores, MI 49444-1805 Ph: (231) 737-4374 | Tessa Hagen, 945 E Sherman Blvd, Norton Shores, MI 49444-1805 Ph: (231) 737-4374 |
Renee Warmoth, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Shannon M Davis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 | |
Erin Iaaco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 | |
Heidi Lynn Baweja, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 | |
Chelsea Zimerle, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 | |
Karmen Wilson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 E Sherman Blvd, Norton Shores, MI 49444 Phone: 231-737-4374 Fax: 231-830-9196 |