Individual
AMANDA VANOOYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4695 FOX CHASE DR, WHITE LAKE, MI 48383-1682
(734) 502-6057
Mailing address
4695 FOX CHASE DR, WHITE LAKE, MI 48383-1682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007147
MI
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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