Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 31003459A | IN |
N | 225X00000X | Occupational Therapist | 5201003897 | MI |
N | 225XH1200X | Occupational Therapist - Hand | OTOO4093 | OH |
NPI | 1184695447 |
---|---|
Provider Name | Mr. Donald Allen Michael |
First Address | Quincy, MI 49082-1127 |
Second Address | Lagrange, IN 46761-1325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/07/2007 |