Organization
AMY UNDERWOOD OCCUPATIONAL THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY UNDERWOOD (OWNER)
(773) 677-8921
Entity
Organization
Contact information
Practice address
226 TERRITORIAL RD, BENTON HARBOR, MI 49022-3436
(773) 677-8921
Mailing address
2251 E EUCLID AVE, BENTON HARBOR, MI 49022-9210
(773) 677-8921
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5201009379
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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