Individual
LUKE WINDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8171 PROSPECT AVE, WARREN, MI 48089-2974
(586) 935-2728
Mailing address
PO BOX 3172, CENTER LINE, MI 48015-0172
(586) 935-2728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007174
MI
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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