Brianna Bove, DPT | |
12319 Highland Rd Ste 301, Hartland, MI 48353-2946 | |
(248) 714-8445 | |
(248) 918-2880 |
Full Name | Brianna Bove |
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Gender | Female |
Speciality | Physical Therapist |
Location | 12319 Highland Rd Ste 301, Hartland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568122711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501019276 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
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 |
---|---|
Brianna Bove, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Brianna Bove, DPT 12319 Highland Rd Ste 301, Hartland, MI 48353-2946 Ph: (248) 714-8445 |
Marnie Beth Bradin, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12319 Highland Rd Ste 501, Hartland, MI 48353 Phone: 810-991-1211 | |
Casandra Lynn Zeni, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10860 Highland Rd, Hartland, MI 48353 Phone: 810-632-1000 Fax: 810-632-1001 | |
Lauren Roman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10860 Highland Rd, Hartland, MI 48353 Phone: 810-632-1000 | |
Rebecca Lynn Hawkins, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12319 Highland Rd Ste 501, Hartland, MI 48353 Phone: 810-991-1211 Fax: 810-991-1656 | |
Jouni Mantyla, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10860 Highland Rd, Hartland, MI 48353 Phone: 810-632-1000 | |
Madison Kulik, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12319 Highland Rd Ste 501, Hartland, MI 48353 Phone: 810-991-1211 | |
Karen Louise Smith, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11182 Highland Rd, Hartland, MI 48353 Phone: 810-632-8700 Fax: 810-632-5850 |