Provider Demographics
NPI:1568119923
Name:C M BIGELOW THERAPY
Entity Type:Organization
Organization Name:C M BIGELOW THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOTRL
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BIGELOW
Authorized Official - Suffix:
Authorized Official - Credentials:MOTRL
Authorized Official - Phone:248-921-7540
Mailing Address - Street 1:9184 ROGER SCOTT TRL
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-6801
Mailing Address - Country:US
Mailing Address - Phone:248-921-7540
Mailing Address - Fax:
Practice Address - Street 1:9184 ROGER SCOTT TRL
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-6801
Practice Address - Country:US
Practice Address - Phone:248-921-7540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty