Individual
ANDREA KAY VACANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
27450 SCHOENHERR RD STE 100A, WARREN, MI 48088-6683
(586) 582-7825
Mailing address
27450 SCHOENHERR RD STE 100A, WARREN, MI 48088-6683
(586) 582-7825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003724
MI
Other
Enumeration date
04/19/2007
Last updated
02/07/2018
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