MRS. BRYONY FAWNE DEROSE (NPI# 1689875841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689875841 |
| Entity Type | Individual |
| Full Name | MRS. BRYONY FAWNE DEROSE |
| Credential | OTR |
| Practice Address |
22731 Newman Street Suite100b Dearborn MI 48124 |
| Mailing Address |
22731 Newman Suite 100b Dearborn MI 48124 |
| Practice Telephone | 3137910616 |
| Mailing Telephone | 3137910616 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
5201005966 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22731 NEWMAN STREET SUITE100B |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063973444 | Kristie Jenshuan Hsieh | Occupational Therapist | 22731 Newman St Ste 100b, Dearborn, MI 48124-2023 | 2019-03-27 |
| 1366943417 | Carrie Marie Foggia | Occupational Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-02-23 |
| 1366744872 | Augusta Simmons | Occupational Therapist | 22731 Newman St, Dearborn, MI 48124-2034 | 2010-12-03 |
| 1881863769 | Kurt Louis Krueger | Occupational Therapist | 22731 Newman St, Suite 100b, Dearborn, MI 48124-2034 | 2008-02-26 |
| 1255509535 | Eileen Mary Foley | Occupational Therapist | 22731 Newman St, Dearborn, MI 48124-2034 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166692 | Aaron Wienczak | Occupational Therapist | 36622 Five Mile Rd Ste 215, Livonia, MI 48154-1900 | 2019-04-18 |
| 1407357155 | Mary Whitehouse Barber | Occupational Therapist | 2098 S Main St Rm 1135, Ann Arbor, MI 48103-5827 | 2018-02-27 |
| 1437650611 | Jeanne Marie Riggs | Occupational Therapist | Domino's Farms, Lobby A Plastic Surg Ste Rm 1108, 24 Frank Lloyd Wright Dr., Spc 5735, Ann Arbor, MI 48106-5735 | 2018-02-23 |
| 1598275067 | Meredith Aja | Occupational Therapist | 1282 Kirts Blvd Ste 102, Troy, MI 48084-4888 | 2017-10-10 |
| 1912459470 | Erin K Nowak | Occupational Therapist | 501 S Health Pkwy, Three Rivers, MI 49093-8350 | 2016-11-01 |
| 1720532443 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 5160 Gotfredson Rd, Plymouth, MI 48170-5019 | 2016-08-10 |
| 1154799666 | Mary Lynne Kleis | Occupational Therapist | 3739 Baldwin St, Hudsonville, MI 49426-9733 | 2015-09-14 |
| 1326387515 | Stephanie Tamminga | Occupational Therapist | 245 Cherry St Se Ste 302, Grand Rapids, MI 49503-4607 | 2013-02-07 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1568628790 | Great Lakes Hand Therapy PC | Occupational Therapist | 3600 Capital Ave Sw Ste 103, Battle Creek, MI 49015 | 2008-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.