Mr Richard Nathan Kornspan, OTR/L | |
19401 Northline Rd, Southgate, MI 48195-2277 | |
(734) 785-7705 | |
Not Available |
Full Name | Mr Richard Nathan Kornspan |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 19401 Northline Rd, Southgate, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104037944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Behavioral Outcomes Management,llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184139131 PECOS PAC ID: 1355602426 Enrollment ID: O20180306002107 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Nathan Kornspan, OTR/L 35986 Fair Oaks Ct, Farmington Hills, MI 48331-3118 Ph: (248) 488-0244 | Mr Richard Nathan Kornspan, OTR/L 19401 Northline Rd, Southgate, MI 48195-2277 Ph: (734) 785-7705 |
Kristen Collins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718 | |
Lisa Logomarsino, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Sarah Renner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13161 Mercier St, Southgate, MI 48195 Phone: 719-377-7515 | |
Ms. Julie Ann Farer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19275 Northline Rd, Southgate, MI 48195 Phone: 734-785-7705 Fax: 734-287-1679 | |
Judith M Garf, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15830 Fort St, Suite 6, Southgate, MI 48195 Phone: 734-324-2980 Fax: 734-324-2981 | |
Rene Kuneman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19401 Northline Rd, Southgate, MI 48195 Phone: 734-785-7718 |