Luke Windon JR.

NPI 1730579988 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1730579988
Gender Male
Enumeration Date 01/27/2015
Last Updated 01/27/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
WARREN MI, 48089-2974, US
Phone (586) 935-2728
Business Location
PO BOX 3172
CENTER LINE MI, 48015-0172, US
Phone (586) 935-2728
Taxonomy Code 224Z00000X
License State Michigan
License Number 5202007174
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According to our database, Luke Windon JR. NPI is 1730579988, taxonomy code is 224Z00000X and license number is 5202007174, license state is located at Michigan. Luke Windon JR. physically located at 8171 Prospect Ave, Warren MI, 48089-2974. NPI Number Luke Windon JR. has the Individual type.

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1730579988 NPI number is provided on an as is basis without warranty of any kind. 1730579988 is maintained by the National Plan & Provider Enumeration System. The contents of Luke Windon JR. are for informational purposes only.