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Individual

ANNE MICHELLE DISNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2378 WOODLAKE DR, #280, OKEMOS, MI 48864-6013
(517) 706-0421
Mailing address
2378 WOODLAKE DR, #280, OKEMOS, MI 48864-6013
(517) 706-0421

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
056010552
IL
225XP0200X
Pediatric Occupational Therapist
Primary
5201009342
MI

Other

Enumeration date
05/09/2014
Last updated
04/26/2016
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