Individual
AMANDA MIUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTL
Contact information
Practice address
5570 WHITTAKER RD, YPSILANTI, MI 48197-9752
(734) 842-1200
Mailing address
1168 COVENTRY SQUARE DR, ANN ARBOR, MI 48103-6300
(734) 846-4750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007301
MI
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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