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NPI Code Detail

MEDICARE: AMANDA ASHENHURST

MEDICARE: AMANDA ASHENHURST
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 Therapist5201006079MI

General Provider Information

NPI Number : 1154751519
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ASHENHURST
Provider Business Mailing Address
First Line : 33900 HARPER AVE
Second Line : SUITE 104
City : CLINTON TOWNSHIP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-416-9100
Fax Number : 586-416-9103
Provider Business Practice Location Address
First Line : 5141 OAKMAN BLVD
Second Line : SUITE D
City : DEARBORN
State : MI
Zip : 48126-3763
Country : US
Telephone Number : 313-359-8200
Fax Number : 313-228-0330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2013
Last Update Date : 07/24/2024

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Directions to “ AMANDA ASHENHURST ” Practice Location

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