Individual
AUBREY AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1061 W HACKLEY AVE, MUSKEGON, MI 49441-3059
(231) 755-2255
Mailing address
1061 W HACKLEY AVE, MUSKEGON, MI 49441-3059
(616) 502-9017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/23/2019
Last updated
01/23/2019
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