Povlock, Amanda

Povlock, Amanda is an individual health care provider with primary practice located at 43815 40Th St , Paw Paw MI 49079-9673. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist is her primary health care specialty. Povlock, Amanda can be contacted via phone (269) 903-6584.

Contact Information

Primary practice address
43815 40Th St Paw Paw MI 49079-9673
Phone: (269) 903-6584
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1780159053
LBN Legal business name Povlock, Amanda
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2018
Last updated Apr 4th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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