Mr Leonard R Fazio, PT | |
3491 Lincoln Rd, Hamilton, MI 49419 | |
(269) 751-2150 | |
Not Available |
Full Name | Mr Leonard R Fazio |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3491 Lincoln Rd, Hamilton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447284377 | NPI | - | NPPES |
N51840002 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501002981 (Michigan) | Primary |
Provider Name | West Michigan Rehabilitation Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780614909 PECOS PAC ID: 1355330002 Enrollment ID: O20040508000392 |
Mailing Address | Practice Location Address |
---|---|
Mr Leonard R Fazio, PT 44 E. 8th Street, Suite 205, Holland, MI 49423 Ph: (616) 392-3197 | Mr Leonard R Fazio, PT 3491 Lincoln Rd, Hamilton, MI 49419 Ph: (269) 751-2150 |
Mr. John Frederick Heyerman, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3491 M40, Hamilton, MI 49419 Phone: 269-751-2150 Fax: 269-751-2140 | |
Tracy Danielle Cross, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3491 Lincoln Rd, Hamilton, MI 49419 Phone: 269-751-2150 Fax: 269-751-2140 | |
Julie Kay Breining, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3491 Lincoln Rd, Hamilton, MI 49419 Phone: 269-751-2150 | |
Ms. Carol Ann Ortquist, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3491 Lincoln Rd, Hamilton, MI 49419 Phone: 269-751-2150 | |
Keith Slenk, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3491 Lincoln Rd, Hamilton, MI 49419 Phone: 269-751-2150 | |
Devin Peter Deboer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3491 Lincoln Rd, Hamilton, MI 49419 Phone: 269-751-2150 |