Stephanie Surinck
Occupational Therapist - Gerontology
721 W Chelsea Cir
Davison
, Michigan 48423-1261
Stephanie Surinck
Occupational Therapist - Gerontology
721 W Chelsea Cir
Davison
, Michigan 48423-1261
(810) 965-1508
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Stephanie Surinck
- 721 W Chelsea Cir
- Davison, MI
- Zip : 48423-1261
- Phone : (810) 965-1508
Second Address
- Stephanie Surinck
- 721 W Chelsea Cir
- Davison, MI
- Zip : 48423-1261
- Phone : (810) 965-1508
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5202006006 | MI |
National Provider Identifier
| NPI | 1639549405 |
|---|---|
| Provider Name | Stephanie Surinck |
| First Address | Davison, MI 48423-1261 |
| Second Address | Davison, MI 48423-1261 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2015 |
| Last Update Date | 05/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5202006006 | COTA LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.