| Great Northern Rehab P C | |
|
1310 E Cloverland Dr, Ironwood, MI 49938-1606 | |
| (906) 932-4200 | |
| (906) 932-4201 |
| Full Name | Great Northern Rehab P C |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1310 E Cloverland Dr, Ironwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386937530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Shawn Edyvean |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285824581 PECOS PAC ID: 2466625546 Enrollment ID: I20111107000064 |
| Provider Name | Dana Lynn Leannah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245504562 PECOS PAC ID: 8921369232 Enrollment ID: I20180301001799 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Northern Rehab P C 2620 Se Maricamp Rd, Ocala, FL 34471-5582 Ph: (352) 732-8868 | Great Northern Rehab P C 1310 E Cloverland Dr, Ironwood, MI 49938-1606 Ph: (906) 932-4200 |
Mrs. Kathleen Marie Walesewicz, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 | |
Mr. Shawn Edyvean, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 | |
Donald W Dugan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 E Aurora St, Ironwood, MI 49938 Phone: 906-932-0714 | |
Jannel Castillo Fink, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: N10565 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-5990 | |
Carla Marie Loeffler, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N10561 Grandview Ln, Physical Therapy/rehab Department, Ironwood, MI 49938 Phone: 906-932-2525 | |
Ms. Nancy Ann Levra, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 E Cloverland Dr, Ironwood, MI 49938 Phone: 906-932-4200 Fax: 906-932-4201 |