| NPI | 1740532126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAJA LYNN PRENDERGAST Owner 810-656-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-008197) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |