Individual
MRS. ANNA MARIE WHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
(734) 287-1906
Mailing address
7008 MAPLELAWN DR, YPSILANTI, MI 48197-1764
(734) 484-0362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007185
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201007185
OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
11/19/2013
Last updated
11/19/2013
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