Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201007863 | MI |
NPI | 1437650348 |
---|---|
Provider Name | Katherine Dumsa |
First Address | Plymouth, MI 48170-5297 |
Second Address | Farmington, MI 48336-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2018 |
Last Update Date | 26/02/2018 |