Individual
MATHILDA CHANAKIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(240) 483-5067
Mailing address
4030 W WEBSTER RD, ROYAL OAK, MI 48073-6616
(240) 484-5067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010115
MI
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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