Individual
MRS. AMANDA RENEE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
704 OAK ST, CADILLAC, MI 49601-2385
(231) 876-7443
(231) 876-6460
Mailing address
22435 60TH AVE, MARION, MI 49665-8193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007337
MI
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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