Amanda Glaske OTA

NPI 1487928362 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1487928362
Gender Female
Enumeration Date 02/24/2012
Last Updated 02/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
705 S MAIN ST STE 220
PLYMOUTH MI, 48170-5436, US
Phone (734) 354-8000
Business Location
BARODA MI, 49101-9737, US
Taxonomy Code 224Z00000X
License State Illinois
License Number 057.002884
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According to our database, Miss Amanda Glaske OTA NPI is 1487928362, taxonomy code is 224Z00000X and license number is 057.002884, license state is located at Illinois. Amanda Glaske OTA physically located at 705 S Main St Ste 220, Plymouth MI, 48170-5436. NPI Number Amanda Glaske OTA has the Individual type.

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1487928362 NPI number is provided on an as is basis without warranty of any kind. 1487928362 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Glaske OTA are for informational purposes only.