Healthcare Provider Details

I. General information

NPI: 1154823862
Provider Name (Legal Business Name): DEBORAH GEIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 03/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SANDERSON LN
COLDWATER MI
49036
US

IV. Provider business mailing address

445 DIVISION ST
UNION CITY MI
49094-1080
US

V. Phone/Fax

Practice location:
  • Phone: 517-279-9587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201006587
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: