Individual
AMBER ANN VANDERWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3774 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
(269) 428-2799
Mailing address
3774 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008822
MI
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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