Individual
ATHENA ISIS ANTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
1201 E MICHIGAN AVE STE 320, JACKSON, MI 49201-1854
(517) 205-7633
(517) 205-7634
Mailing address
8041 FAIRVIEW CT, JACKSON, MI 49201-9242
(734) 645-7058
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201005217
MI
Other
Enumeration date
04/25/2018
Last updated
04/02/2021
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