Individual
MICHELLE LOUISE AUTHEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8604
Mailing address
3059 WILLIAMSBURG RD, ANN ARBOR, MI 48108-2025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336183367
—
MI
Enumeration date
03/07/2018
Last updated
03/07/2018
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