Provider Demographics
NPI:1174088322
Name:HUNTER, EMILY ANN (OTRL)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6854 CAPAC RD
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MI
Mailing Address - Zip Code:48097-1703
Mailing Address - Country:US
Mailing Address - Phone:810-858-7103
Mailing Address - Fax:
Practice Address - Street 1:7609 BROCKWAY RD
Practice Address - Street 2:
Practice Address - City:BROCKWAY
Practice Address - State:MI
Practice Address - Zip Code:48097-3459
Practice Address - Country:US
Practice Address - Phone:810-387-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201010426225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist