Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1063973444 |
---|---|
Provider Name | Kristie Jenshuan Hsieh |
First Address | West Bloomfield, MI 48323-3157 |
Second Address | Dearborn, MI 48124-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2019 |
Last Update Date | 27/03/2019 |