Basic Information
| Provider Information | |||||||||
| NPI: | 1124221429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | APPUGLIESE | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | LOUISE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 48820 CROSS CREEK DR | ||||||||
| Address2: | |||||||||
| City: | MACOMB | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480445590 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5863063269 | ||||||||
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| Practice Location | |||||||||
| Address1: | 17900 23 MILE RD | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | MACOMB | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480441161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5868689040 | ||||||||
| FaxNumber: | 5868689013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2007 | ||||||||
| LastUpdateDate: | 10/14/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.