IndividualActive
Amanda Simon
NPI 1922695311 · Occupational Therapist · Wayne, MI
Provider details
- NPI number
- 1922695311
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5201011052 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
33155 Annapolis St
Wayne, MI 48184-2405
Phone: (734) 467-4134
Approximate (ZIP-level) locationGet directions
Mailing address
36549 Lauren St
New Baltimore, MI 48047-5534
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2020-12-31
- Certified
- 2020-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.