Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | MI |
NPI | 1144791989 |
---|---|
Provider Name | Sondra Kay Ferenczy |
First Address | Milan, MI 48160-1046 |
Second Address | Milan, MI 48160-1046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2018 |
Last Update Date | 05/12/2018 |