Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201000036 | MI |
NPI | 1770071532 |
---|---|
Provider Name | Annette Marie Weeks |
First Address | Farmington Hills, MI 48331-3286 |
Second Address | Chelsea, MI 48118-1383 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2018 |
Last Update Date | 27/04/2018 |