Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201002098 | MI |
NPI | 1598948564 |
---|---|
Provider Name | Anne Marie Chadwick |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 12/12/2007 |