Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201011611 | MI |
NPI | 1003568585 |
---|---|
Provider Name | Amanda Schatzberg |
First Address | Bloomfield Hills, MI 48302-2056 |
Second Address | Bloomfield Hills, MI 48302-2056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2022 |
Last Update Date | 25/01/2022 |