Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201001722 | MI |
NPI | 1003177403 |
---|---|
Provider Name | Mrs. Gail Ann Neufeld |
First Address | Calumet, MI 49913-9524 |
Second Address | Houghton, MI 49931-1968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 01/06/2012 |