Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201001809 | MI |
NPI | 1003397431 |
---|---|
Provider Name | Linda Kathleen Arnold |
First Address | Grass Lake, MI 49240-8908 |
Second Address | Ann Arbor, MI 48105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2018 |
Last Update Date | 30/08/2018 |