Individual
MRS. DENISE MARIE EISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Mailing address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004660
MI
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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