Individual
NICOLE STUDEBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 979-8118
(586) 979-8118
Mailing address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 979-8118
(586) 979-8118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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