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Individual

AMBER KELLY HARPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011228
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201011228
OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
07/08/2021
Last updated
07/08/2021
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