| Jennifer L Boden, DPT | |
|
33200 W 14 Mile Rd Ste 160, West Bloomfield, MI 48322-3587 | |
| (248) 538-7607 | |
| Not Available |
| Full Name | Jennifer L Boden |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 33200 W 14 Mile Rd Ste 160, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134545320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT023209 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | 5501020082 (Michigan) | Primary |
| Provider Name | Michigan Rehabilitation Specialists Of Fowlerville Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669531166 PECOS PAC ID: 6204730393 Enrollment ID: O20130927000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Boden, DPT 23852 Michigan Ave, Dearborn, MI 48124-1829 Ph: (248) 538-7607 | Jennifer L Boden, DPT 33200 W 14 Mile Rd Ste 160, West Bloomfield, MI 48322-3587 Ph: (248) 538-7607 |
Ancilla Walker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4779 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-301-5502 Fax: 248-366-4126 | |
Carol Casolari, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Maple Rd, Suite 215, West Bloomfield, MI 48322 Phone: 248-539-2900 | |
Muhammad Suhail Siddiqui, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5575 Northcote, West Bloomfield, MI 48322 Phone: 248-722-7473 Fax: 248-289-4691 | |
Katharine Elizabeth Graham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2020, West Bloomfield, MI 48323 Phone: 248-313-5940 Fax: 248-313-5941 | |
Dr. Elina Gorelkin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5436 Kingsfield Dr, West Bloomfield, MI 48322 Phone: 248-595-1500 | |
Bahram Nadim, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 303, West Bloomfield, MI 48322 Phone: 248-310-2438 | |
Anna Kebl, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-3845 |