| Lake Foco, DPT | |
|
17272 Robbins Rd Ste 102, Grand Haven, MI 49417-2677 | |
| (616) 256-8670 | |
| Not Available |
| Full Name | Lake Foco |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 17272 Robbins Rd Ste 102, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407630643 | NPI | - | NPPES |
| 5501302860 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mary Free Bed Rehabilitation Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
| Provider Name | Hulst Jepsen Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609957760 PECOS PAC ID: 8325033285 Enrollment ID: O20060206000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Foco, DPT Po Box 30516, Dept 5300, Lansing, MI 48909 Ph: () - | Lake Foco, DPT 17272 Robbins Rd Ste 102, Grand Haven, MI 49417-2677 Ph: (616) 256-8670 |
Leslie Kempers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17168 Timber View Dr, Grand Haven, MI 49417 Phone: 616-994-2770 | |
Abigail Mayhanagian, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 Fax: 616-935-3333 | |
Mr. Bhaskar Reddy Poreddy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 S Despelder St, Grand Haven, MI 49417 Phone: 616-842-0770 | |
Julie Clark, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14929 Sandstone Pl, Grand Haven, MI 49417 Phone: 231-327-9578 | |
Robert John Mclaren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 | |
Melissa Lynn Lewandowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 | |
Michael T Radomski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17272 Robbins Rd, Suite 102, Grand Haven, MI 49417 Phone: 616-256-8670 Fax: 248-373-7443 |