Hq Of St Clair Llc | |
1193 South Carney Dr., Unit 12, St Clair, MI 48079 | |
(248) 601-9207 | |
Not Available |
Full Name | Hq Of St Clair Llc |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1193 South Carney Dr., St Clair, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043072515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Todd M Cummings |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104909159 PECOS PAC ID: 4587734603 Enrollment ID: I20080602000427 |
Provider Name | Lynn M Schultz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184898447 PECOS PAC ID: 7416029947 Enrollment ID: I20080627000585 |
Provider Name | Kimberly S Klimek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790958338 PECOS PAC ID: 2860565587 Enrollment ID: I20080714000452 |
Provider Name | Stephanie L Palmateer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386917136 PECOS PAC ID: 3577727049 Enrollment ID: I20120613000279 |
Provider Name | Kristen M Bentley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548626104 PECOS PAC ID: 4587969712 Enrollment ID: I20160225000572 |
Provider Name | Christopher G Gerhardt |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811357700 PECOS PAC ID: 2567760929 Enrollment ID: I20160419000082 |
Provider Name | Marissa Ogboh |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174097356 PECOS PAC ID: 1153668868 Enrollment ID: I20190201002251 |
Provider Name | Christy N Moza |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083226088 PECOS PAC ID: 1557788056 Enrollment ID: I20200828001984 |
Provider Name | Jacob D Gallucci |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588241350 PECOS PAC ID: 3173930443 Enrollment ID: I20210402000746 |
Provider Name | Maximilian Kowalski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306585823 PECOS PAC ID: 6709264484 Enrollment ID: I20220608002679 |
Provider Name | Kevin Chen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356107239 PECOS PAC ID: 4284070210 Enrollment ID: I20240312003134 |
Mailing Address | Practice Location Address |
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Hq Of St Clair Llc 1773 Star Batt Dr, Rochester Hills, MI 48309-3708 Ph: () - | Hq Of St Clair Llc 1193 South Carney Dr., Unit 12, St Clair, MI 48079 Ph: (248) 601-9207 |