Brighty Sara Koduvath, | |
5211 Marsh Rd, Okemos, MI 48864-1106 | |
(517) 319-1400 | |
Not Available |
Full Name | Brighty Sara Koduvath |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5211 Marsh Rd, Okemos, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386003606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7101004945 (Michigan) | Primary |
Provider Name | Fox Rehabilitation Services Mi Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790324648 PECOS PAC ID: 2769819960 Enrollment ID: O20200228000658 |
Mailing Address | Practice Location Address |
---|---|
Brighty Sara Koduvath, 5211 Marsh Rd., Haslett, MI 48840-8854 Ph: (517) 515-3763 | Brighty Sara Koduvath, 5211 Marsh Rd, Okemos, MI 48864-1106 Ph: (517) 319-1400 |
Jenna Marie Burke, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1400 | |
Olivia Grace Roberts, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3860 Dobie Rd, Okemos, MI 48864 Phone: 517-381-6100 | |
Elissa Rae Besson, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr Ste 280, Okemos, MI 48864 Phone: 517-706-0421 | |
Ms. Amanda Marie Denbraber-lake, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Ardmore Ave, Okemos, MI 48864 Phone: 517-282-7779 Fax: 517-394-3604 | |
Stacy Kramer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5211 Marsh Rd, Okemos, MI 48864 Phone: 517-319-1400 | |
Andrea Marie-kujawa Loomis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2378 Woodlake Dr Ste 280, Okemos, MI 48864 Phone: 517-706-0421 |