| |
2112 13th Ave, Menominee, MI 49858-2414 | |
(906) 290-1937 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 2112 13th Ave, Menominee, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902287170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201008986 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
2112 13th Ave, Menominee, MI 49858-2414 Ph: (906) 290-1937 | 2112 13th Ave, Menominee, MI 49858-2414 Ph: (906) 290-1937 |