Individual provider · Type 1 NPI
Amanda Povlock, CTRS
Recreation Therapist · Paw Paw, MI
NPI number
1780159053
Active
Practice location
43815 40th St
Paw Paw, MI 49079-9673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | None listed |
| Behavior Technician | 106S00000X | None listed |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
About NPI 1780159053
Amanda Povlock, CTRS's National Provider Identifier is 1780159053, issued on Oct 12, 2018. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Paw Paw, MI. The record was last updated on Apr 4, 2024.