Individual
STEVEN DALLAS EBERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTRL, CDP, CFPS
Contact information
Practice address
3905 LORRAINE PATH, SAINT JOSEPH, MI 49085-8630
(269) 428-1111
Mailing address
PO BOX 686, SOUTH HAVEN, MI 49090-0686
(269) 720-7831
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201003590
MI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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