Healthcare Provider Details
I. General information
NPI: 1598237364
Provider Name (Legal Business Name): MICHELLE MARIE ARTHUR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/18/2018
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3007 NORTH SAGINAW RD
MIDLAND MI
48640
US
IV. Provider business mailing address
3007 N SAGINAW RD
MIDLAND MI
48640-4555
US
V. Phone/Fax
- Phone: 989-633-1400
- Fax:
- Phone: 989-633-1400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XF0002X |
| Taxonomy | Feeding, Eating & Swallowing Occupational Therapist |
| License Number | |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: