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Organization

INTEGRATED BODY WORKS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY TAYLOR JOHNSON (PRESIDENT)
(269) 806-9019
Entity
Organization

Contact information

Practice address
4317 W U AVE, SCHOOLCRAFT, MI 49087-9462
(269) 806-9019
Mailing address
4317 W U AVE, SCHOOLCRAFT, MI 49087-9462
(269) 806-9019

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001374
MI

Other

Enumeration date
02/04/2014
Last updated
06/30/2014
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