Individual
AGNES MONICA EICHHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
220 S. CHARLES, WHITE CLOUD, MI 49349-8794
(231) 689-5800
(231) 689-5802
Mailing address
PO BOX 822, WHITE CLOUD, MI 49349-0822
(231) 689-5800
(231) 689-5802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000586
MI
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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