Shawn Denise Richardson, | |
111 Elm St, Birmingham, MI 48009-6332 | |
(248) 341-7797 | |
(248) 341-9012 |
Full Name | Shawn Denise Richardson |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Gerontology |
Location | 111 Elm St, Birmingham, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780188953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XG0600X | Occupational Therapist - Gerontology | 5201006544 (Michigan) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457868937 PECOS PAC ID: 6507832573 Enrollment ID: O20180205002852 |
Mailing Address | Practice Location Address |
---|---|
Shawn Denise Richardson, 28521 Princeton Ct, Madison Heights, MI 48071-3077 Ph: (248) 635-5914 | Shawn Denise Richardson, 111 Elm St, Birmingham, MI 48009-6332 Ph: (248) 341-7797 |
West Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2446 Manchester Rd, Birmingham, MI 48009 Phone: 586-201-5119 | |
Kelly Hale, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1185 S Adams Rd, Birmingham, MI 48009 Phone: 248-988-8098 Fax: 248-988-8583 | |
Mrs. Megan Lynn West, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2446 Manchester Rd, Birmingham, MI 48009 Phone: 586-201-5119 |