Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201007238 | MI |
NPI | 1346716891 |
---|---|
Provider Name | Elizabeth Ann Mehr |
First Address | Farmington Hills, MI 48331-3286 |
Second Address | Pontiac, MI 48341-5023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2018 |
Last Update Date | 22/10/2018 |