Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201007199 | MI |
NPI | 1992119218 |
---|---|
Provider Name | Danielle Schramke |
First Address | Sebewaing, MI 48759-9721 |
Second Address | Bay City, MI 48706-2065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2014 |
Last Update Date | 14/06/2014 |