Marlesa Maria Johnson, DPT | |
451 Health Pkwy, Paw Paw, MI 49079-8242 | |
(269) 657-1490 | |
Not Available |
Full Name | Marlesa Maria Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 451 Health Pkwy, Paw Paw, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235781345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Mary Free Bed Rehabilitation Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
Mailing Address | Practice Location Address |
---|---|
Marlesa Maria Johnson, DPT 38208 M 40, Paw Paw, MI 49079-8462 Ph: () - | Marlesa Maria Johnson, DPT 451 Health Pkwy, Paw Paw, MI 49079-8242 Ph: (269) 657-1490 |
Erin Aerts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 | |
Piotr Jan Mietusiewicz, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-8300 Fax: 269-655-0766 | |
Kinju Dudhia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Nicole Burgess, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 Fax: 269-657-1444 | |
Kristy Leigh Wilkinson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 | |
Mr. Daniel E Laird, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-1490 Fax: 269-657-1444 |