Individual
AMY FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 216-1800
Mailing address
1563 BLACKBIRD LN, HOWELL, MI 48855-6449
(586) 382-5169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009595
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/07/2011
Last updated
11/30/2020
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