Individual
MRS. AMANDA ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
18501 ROTUNDA DR STE 100, DEARBORN, MI 48124-3891
(313) 996-1949
Mailing address
18501 ROTUNDA DR STE 100, DEARBORN, MI 48124-3891
(313) 996-1930
(313) 996-1935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008628
MI
225XP0200X
Pediatric Occupational Therapist
5201008628
MI
Other
Enumeration date
10/18/2013
Last updated
09/12/2018
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