Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1902221781 |
---|---|
Provider Name | Christine Garling |
First Address | Chesterfield, MI 48051-1813 |
Second Address | Chesterfield, MI 48051-1813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |