Michelle Canning OTR

NPI 1063890705 - Occupational Therapist - 225X00000X

NPI Details
NPI 1063890705
Gender Female
Enumeration Date 05/14/2015
Last Updated 05/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2701 CHESTNUT STATION CT
LOUISVILLE KY, 40299-6395, US
Phone (800) 335-1060
Fax
Business Location
12580 HORNING RD
BROOKLYN MI, 49230-8410, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Michigan
License Number 5201004589
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According to our database, Michelle Canning OTR NPI is 1063890705, taxonomy code is 225X00000X and license number is 5201004589, license state is located at Michigan. Michelle Canning OTR physically located at 2701 Chestnut Station Ct, Louisville KY, 40299-6395. NPI Number Michelle Canning OTR has the Individual type.

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1063890705 NPI number is provided on an as is basis without warranty of any kind. 1063890705 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Canning OTR are for informational purposes only.