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Individual

EMILY SHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-5933
Mailing address
960 N 950 E, ANGOLA, IN 46703-9264
(260) 318-1955

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006913
MI

Other

Enumeration date
12/29/2010
Last updated
12/29/2010
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