Individual
BREANNE SHAMPAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9870 TELEGRAPH RD STE B, TAYLOR, MI 48180-3334
(313) 295-5020
Mailing address
14720 RICHMOND ST, SOUTHGATE, MI 48195-3706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Enumeration date
02/22/2018
Last updated
02/25/2026
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