Individual
JULIE VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
500 BARFIELD DR, HASTINGS, MI 49058
(269) 948-8041
Mailing address
500 BARFIELD DR, HASTINGS, MI 49058-9018
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5201009829
MI
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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