Individual
AUDREY VANMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
24111 CIVIC CENTER DR, SOUTHFIELD, MI 48033-7414
(248) 349-9595
Mailing address
5815 STRATHDON WAY, WATERFORD, MI 48327-2054
(248) 797-6544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001823
MI
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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