Andrea Moore, PT, DPT | |
31555 Southfield Rd, Beverly Hills, MI 48025-5461 | |
(248) 594-5963 | |
(248) 594-6115 |
Full Name | Andrea Moore |
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Gender | Female |
Speciality | Physical Therapist |
Location | 31555 Southfield Rd, Beverly Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134610496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501011665 (Michigan) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
Mailing Address | Practice Location Address |
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Andrea Moore, PT, DPT 30600 Woodgate Dr, Southfield, MI 48076-5385 Ph: (313) 300-5170 | Andrea Moore, PT, DPT 31555 Southfield Rd, Beverly Hills, MI 48025-5461 Ph: (248) 594-5963 |
Zaki Afzal, D.P.T, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17388 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 248-633-2640 Fax: 248-633-2641 | |
Julia Ann Wilkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17388 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 586-416-9100 Fax: 586-416-9103 | |
Neil Miraflor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21910 Riverview Dr, Beverly Hills, MI 48025 Phone: 313-757-1768 | |
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17388 W 13 Mile Rd, Beverly Hills, MI 48025 Phone: 248-731-0060 Fax: 248-731-7062 | |
Austin Macias, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 31645 Southfield Rd, Beverly Hills, MI 48025 Phone: 248-564-3535 | |
Mrs. Cathleen Marie Nagle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31000 Lahser Rd, Suite 1, Beverly Hills, MI 48025 Phone: 248-290-2440 |