AMANDA POVLOCK, CTRS
Recreation Therapist
Active
Individual
NPI: 1780159053
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Recreation Therapist | 225800000X | Yes | - |
| Behavior Technician | 106S00000X | No | - |
Frequently Asked Questions
NPI 1780159053 is the National Provider Identifier for AMANDA POVLOCK, CTRS, a Recreation Therapist provider located in Paw Paw, MI. This NPI was enumerated on October 12, 2018.
AMANDA POVLOCK, CTRS practices at 43815 40TH ST, Paw Paw, MI 49079.
Quick Facts
- NPI
- 1780159053
- Type
- Individual
- Enumerated
- Oct 12, 2018
- Last Updated
- Apr 4, 2024
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