Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 5201004509 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1134208697 |
---|---|
Provider Name | Andrea Hemry |
First Address | Lansing, MI 48911-4275 |
Second Address | Lansing, MI 48911-4275 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |