Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 5201000982 | MI |
NPI | 1023061033 |
---|---|
Provider Name | Mr. Sanjeev Chopra |
First Address | Bloomfield Hills, MI 48302-0723 |
Second Address | Bloomfield Hills, MI 48302-0723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 22/04/2019 |