Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201003452 | MI |
NPI | 1083189260 |
---|---|
Provider Name | Daniel J Armstrong |
First Address | Rochester, MI 48307-1863 |
Second Address | Rochester, MI 48307-1863 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2018 |
Last Update Date | 04/10/2018 |