Mary Grace Lagare, PTR | |
4554 W 48th St, Fremont, MI 49412-8721 | |
(619) 838-1728 | |
Not Available |
Full Name | Mary Grace Lagare |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4554 W 48th St, Fremont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487080842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501016114 (Michigan) | Primary |
Provider Name | Select Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20220401001852 |
Mailing Address | Practice Location Address |
---|---|
Mary Grace Lagare, PTR Po Box 163, Fremont, MI 49412-0163 Ph: (619) 838-1728 | Mary Grace Lagare, PTR 4554 W 48th St, Fremont, MI 49412-8721 Ph: (619) 838-1728 |
Nichole Cruzan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3998 | |
Elyse Vanderkamp, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3185 | |
Dr. Mary Ethel Lobrigas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3860 Fax: 231-924-3197 | |
Beth Ann Vantreese, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3195 | |
Leah Marie Bartolameolli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-1379 | |
Ryan Thomas Gailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3195 |