Katelyn Coughlin, DPT | |
1764 S Ortonville Rd, Ortonville, MI 48462-8819 | |
(248) 793-5730 | |
(248) 793-5732 |
Full Name | Katelyn Coughlin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1764 S Ortonville Rd, Ortonville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487338927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501302726 (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 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Coughlin, DPT 1311 Mamaroneck Ave, White Plains, NY 10605-5221 Ph: (914) 294-4050 | Katelyn Coughlin, DPT 1764 S Ortonville Rd, Ortonville, MI 48462-8819 Ph: (248) 793-5730 |
Mrs. Meghan Nicole Erpelding, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1660 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-627-4084 Fax: 248-627-4998 | |
Mrs. Lynette Marie Griffin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1660 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-627-4084 | |
Aaren Michele Gizowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1764 S Ortonville Rd, Ortonville, MI 48462 Phone: 248-793-5730 Fax: 248-793-5732 |