Individual
AMANDA TARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
12150 30 MILE RD, WASHINGTON TWP, MI 48095-2035
(313) 461-9402
Mailing address
80060 HOLMES RD, ARMADA, MI 48005-1117
(586) 883-3634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005772
MI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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