Amy Emily Ansara, OTR/L

Individual provider Active NPI Occupational Therapist · Madison Heights, MI

NPI 1063711091 · NPPES record last updated Mar 17, 2011

Key facts

NPI
1063711091
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201007924 (MI)
Practice address
1432 E 12 Mile Rd
Madison Heights, MI 48071-2651
Phone
(248) 543-4886
Fax
(248) 543-0479
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201007924MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007924 MI Yes

Addresses

Primary practice location

1432 E 12 Mile Rd
Madison Heights, MI 48071-2651

Mailing address

42615 Garfield Rd
Clinton Township, MI 48038-1653
Phone (586) 412-2845

Other providers in Madison Heights, MI

All providers in Madison Heights, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.