Individual
EMILY WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
347 CREEKSIDE DR, PETOSKEY, MI 49770-8676
(231) 487-0080
Mailing address
9293 CHERRY AVE, RAPID CITY, MI 49676-9669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011016
MI
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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