Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 5201005334 | MI |
NPI | 1801143573 |
---|---|
Provider Name | Kristine Anne Hirzel |
First Address | Battle Creek, MI 49017-3632 |
Second Address | Battle Creek, MI 49017-3632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 13/08/2012 |