Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XL0004X | Low Vision | 5201002368 | MI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1861993792 |
---|---|
Provider Name | Annette Marie Babinski |
First Address | Grosse Pointe Park, MI 48230-1328 |
Second Address | Grosse Pointe Park, MI 48230-1328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2018 |
Last Update Date | 26/02/2018 |