Victoria Pruitt, PT, DPT | |
1525 Ridgewood Dr, Midland, MI 48642-6425 | |
(989) 835-6333 | |
Not Available |
Full Name | Victoria Pruitt |
---|---|
Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 1525 Ridgewood Dr, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619542875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 5501020028 (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 |
---|---|
Victoria Pruitt, PT, DPT 15 Dartmoor Pl, Midland, MI 48640-3382 Ph: (517) 990-5603 | Victoria Pruitt, PT, DPT 1525 Ridgewood Dr, Midland, MI 48642-6425 Ph: (989) 835-6333 |
Ann E Dull, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 N Campus Ridge Dr, C2000, Midland, MI 48640 Phone: 989-837-9130 | |
Kanwaldeep Kaur Kapoor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640 Phone: 989-837-9100 | |
Evergreen Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 N Saginaw Rd, Suite C, Midland, MI 48640 Phone: 989-837-1529 Fax: 989-837-2499 | |
Mr. Tod A Leeson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4421 W Main St, Midland, MI 48640 Phone: 989-832-9026 | |
Michael Runstrom, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 W Wackerly St Ste 500, Midland, MI 48640 Phone: 989-839-4220 | |
Sharon Teresa Szynkowski, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3007 N Saginaw Rd, Midland, MI 48640 Phone: 989-356-8004 | |
Mrs. Elizabeth Ann Omalley, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 810 E Ashman St, Midland, MI 48642 Phone: 989-486-1232 |