Mrs Lisa Ann Martin, | |
55 W Pond Dr, Suite 4, Walled Lake, MI 48390 | |
(248) 668-9355 | |
(248) 668-9351 |
Full Name | Mrs Lisa Ann Martin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 55 W Pond Dr, Walled Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568669885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501004370 (Michigan) | Primary |
Provider Name | Prevent Rehabilitation Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164912945 PECOS PAC ID: 6305190091 Enrollment ID: O20181115001828 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Ann Martin, 843 Los Arboles Dr, Wolverine Lake, MI 48390-2028 Ph: (248) 669-9876 | Mrs Lisa Ann Martin, 55 W Pond Dr, Suite 4, Walled Lake, MI 48390 Ph: (248) 668-9355 |
Rs Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1123 E West Maple Rd, Suite 2, Walled Lake, MI 48390 Phone: 248-960-2334 | |
Miss Tania Lynn Garrant, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 N Pond Dr, Suite 4, Walled Lake, MI 48390 Phone: 248-668-9355 Fax: 248-668-9351 | |
Shelby Sweeney, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 55 Northpond Dr #4, Walled Lake, MI 48390 Phone: 248-668-9355 |