Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 5201002127 | MI |
N | 225XE0001X | Environmental Modification | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 225XL0004X | Low Vision | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1346534526 |
---|---|
Provider Name | Mrs. Joyce Anne Guseila |
First Address | Harrison Township, MI 48045-6200 |
Second Address | Harrison Township, MI 48045-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2011 |
Last Update Date | 07/06/2011 |