Individual
JOSHUA ALAN EISENGA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
481 VILLAGE GREEN LN, MONROE, MI 48162-3367
(734) 242-6282
Mailing address
481 VILLAGE GREEN LN, MONROE, MI 48162-3367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009880
MI
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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