Individual
AUTUMN CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
27472 SCHOENHERR RD STE 130, WARREN, MI 48088-6675
(586) 439-6243
(586) 439-6240
Mailing address
27472 SCHOENHERR RD STE 130, WARREN, MI 48088-6675
(586) 439-6243
(586) 439-6240
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201010040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010040
STATE LICENSE
MI
Enumeration date
11/02/2017
Last updated
06/16/2018
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