Stephanie Agnew, OTR/L

Individual provider Active NPI Occupational Therapist · Midland, MI

NPI 1326430752 · NPPES record last updated Jan 1, 2019

Key facts

NPI
1326430752
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201009031 (MI)
Practice address
3007 N Saginaw Rd
Midland, MI 48640-4555
Phone
(616) 430-9284
NPI assigned
Feb 23, 2015
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
5201009031MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201009031 MI Yes

Addresses

Primary practice location

3007 N Saginaw Rd
Midland, MI 48640-4555

Mailing address

3007 N Saginaw Rd
Midland, MI 48640-4555

Other providers in Midland, MI

All providers in Midland, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.