Individual
MS. AMANDA MICHELE KUMPURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C
Contact information
Practice address
11911 CLINTON RIVER RD, STERLING HEIGHTS, MI 48313-2420
(586) 797-1653
Mailing address
15460 LAKESIDE VILLAGE DR, APT # 303, CLINTON TOWNSHIP, MI 48038-3547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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