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NPI Code Detail

MEDICARE: AMANDA BIELECKI

MEDICARE: AMANDA BIELECKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201010874MI

General Provider Information

NPI Number : 1093325714
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BIELECKI
Provider Business Mailing Address
First Line : 16013 HAVERHILL DR
Second Line :
City : MACOMB
State : MI
Zip : 48044-1950
Country : US
Telephone Number : 586-747-4468
Fax Number :
Provider Business Practice Location Address
First Line : 3901 WRIGHTSVILLE AVE STE 120
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6256
Country : US
Telephone Number : 910-679-8385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/06/2020

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Directions to “ AMANDA BIELECKI ” Practice Location

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