Individual
MRS. AUTUMN M MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
3100 CROSS CREEK PKWY STE 160, AUBURN HILLS, MI 48326
(247) 377-8000
Mailing address
3100 CROSS CREEK PKWY, AUBURN HILLS, MI 48326-2774
(248) 377-8000
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
3302
SC
225XH1200X
Hand Occupational Therapist
Primary
5201005471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201005471
STATE OF MI LICENSE
MI
01
—
Q349293234
MEDICARE PTAN
—
Enumeration date
09/11/2007
Last updated
09/18/2018
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