Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201006993 | MI |
NPI | 1003387168 |
---|---|
Provider Name | Mrs. Kirsten Marie Ostermann |
First Address | Clinton Township, MI 48038-6914 |
Second Address | Clinton Township, MI 48038-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2018 |
Last Update Date | 16/12/2018 |