Individual
AMANDA COPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
851 PENNIMAN AVE, PLYMOUTH, MI 48170-1621
(248) 349-9595
(248) 349-7962
Mailing address
851 PENNIMAN AVE, PLYMOUTH, MI 48170-1621
(248) 349-9595
(248) 349-7962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005964
MI
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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