Special Tree Outpatient Clinic | |
10909 Hannan Rd Romulus MI 48174-1383 | |
(734) 893-1000 | |
Not Available |
Full Name | Special Tree Outpatient Clinic |
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Speciality | Clinic/Center |
Location | 10909 Hannan Rd, Romulus, Michigan |
Authorized Official Name and Position | Lakisha Ford (MEDICAL BILLER) |
Authorized Official Contact | 2489514042 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Special Tree Outpatient Clinic 10909 Hannan Rd Romulus MI 48174-1383 Ph: (734) 893-1164 | Special Tree Outpatient Clinic 10909 Hannan Rd Romulus MI 48174-1383 Ph: (734) 893-1000 |
NPI Number | 1306443742 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 08/08/2022 |
Medicare PECOS PAC ID | 1456763259 |
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Medicare Enrollment ID | O20201221001367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306443742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Emmalie A Pringle |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538410923 PECOS PAC ID: 4385896075 Enrollment ID: I20121203000474 |
Provider Name | Jacqueline A Cunningham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083052526 PECOS PAC ID: 1850514951 Enrollment ID: I20140519000290 |
Provider Name | Jennifer Ratermann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184062606 PECOS PAC ID: 3476777830 Enrollment ID: I20140605000891 |
Provider Name | Cynthia K Bruce |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144668609 PECOS PAC ID: 0840416871 Enrollment ID: I20140728000723 |
Provider Name | Sarah K Kapelczak |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1134569213 PECOS PAC ID: 5193942266 Enrollment ID: I20140813001698 |
Provider Name | Jessica Jean Hurlston |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639620024 PECOS PAC ID: 4587899463 Enrollment ID: I20170124000159 |
Provider Name | Jessica L Geiser |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336643188 PECOS PAC ID: 2961754981 Enrollment ID: I20181002002897 |
Provider Name | Hannah Krzyske |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487144093 PECOS PAC ID: 2365784238 Enrollment ID: I20190424001348 |
Provider Name | Emily Nicole Robinett-ferrara |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548814965 PECOS PAC ID: 2567893894 Enrollment ID: I20200520001945 |
Provider Name | Anne Pollack Heineman |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1255981510 PECOS PAC ID: 3476952052 Enrollment ID: I20210602001048 |
Provider Name | Alexandra Wilbanks |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255032793 PECOS PAC ID: 0446624670 Enrollment ID: I20230329002273 |
Provider Name | Alyssa M Thanasiu |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437844925 PECOS PAC ID: 6305293358 Enrollment ID: I20231113001883 |
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