Individual
AMANDA NICOLE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39393 VAN DYKE AVE STE 105, STERLING HEIGHTS, MI 48313-4636
(586) 722-7524
Mailing address
20830 WOODLAND GLEN DR APT 202, NORTHVILLE, MI 48167-2427
(734) 756-9764
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83519
MI
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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