Amanda Povlock, CTRS
Amanda Povlock, CTRS is a Recreation Therapist in Paw Paw, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
43815 40th StPaw Paw, MI 49079-9673
Phone: (269) 903-6584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recreation Therapist (primary) | Taxonomy 225800000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1780159053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CTRS |
| Sole proprietor | No |
| NPI enumerated | October 12, 2018 |
| Last updated in NPPES | April 4, 2024 |
| Certification date | April 4, 2024 |
| Mailing address | 43815 40th St, Paw Paw, MI 49079-9673 |