Individual
AMANDA MARY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4134
Mailing address
36549 LAUREN ST, NEW BALTIMORE, MI 48047-5534
(586) 770-2520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011052
MI
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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