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Individual

CHERRELLE VAN COPPENOLLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
650 STRATFORD RD, FERNDALE, MI 48220-2369
(567) 208-6045
Mailing address
650 STRATFORD RD, FERNDALE, MI 48220-2369
(567) 208-6045

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201010430
MI

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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