Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201009873 | MI |
NPI | 1003328147 |
---|---|
Provider Name | Kimberly Ann Ozias |
First Address | Pinckney, MI 48169-9472 |
Second Address | Hamburg, MI 48139-1204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2017 |
Last Update Date | 30/10/2017 |