Mrs Diana M Painter, DPT | |
901 W Main St, Lowell, MI 49331-1581 | |
(616) 897-7055 | |
(616) 897-7366 |
Full Name | Mrs Diana M Painter |
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Gender | Female |
Speciality | Physical Therapist |
Location | 901 W Main St, Lowell, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255527164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501013488 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diana M Painter, DPT 901 W Main St, Lowell, MI 49331-1581 Ph: (616) 897-7055 | Mrs Diana M Painter, DPT 901 W Main St, Lowell, MI 49331-1581 Ph: (616) 897-7055 |
Ashley Nicole Vandenberg, P.T.,D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Suite 1, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 | |
Alexis Marie Manzanares, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 | |
Mr. Casimir A Kilyanek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 | |
Deborah Miller Thomas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Center St, Lowell, MI 49331 Phone: 616-897-8473 | |
Melissa G Stebbins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1335 W. Main St, Suite B, Lowell, MI 49331 Phone: 616-888-3184 Fax: 978-263-0014 | |
Jessica L Mcleod, PT, DPT, AT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 W Main St, Lowell, MI 49331 Phone: 616-897-7055 Fax: 616-897-7366 |