Amanda Mary Simon

NPI #1922695311 in Wayne, Michigan

Provider Information

NPI Number: 1922695311
Entity Type: Individual
Name: Amanda Mary Simon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 31, 2020
Last Updated: Dec 31, 2020

Practice Location

Address: 33155 ANNAPOLIS ST
City: Wayne
State: Michigan
ZIP Code: 48184-2405
Phone: (734) 467-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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