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Individual

MISS AMY EMILY ANSARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1432 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 543-4886
(248) 543-0479
Mailing address
42615 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1653
(586) 412-2845
(586) 412-7087

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007924
MI

Other

Enumeration date
03/16/2011
Last updated
03/17/2011
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