Individual
MRS. ADRIANA ESTELA NOVELLI-CANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3160 HAGGERTY RD, STE H, WEST BLOOMFIELD, MI 48323-2000
(248) 669-5757
(248) 669-2090
Mailing address
3160 HAGGERTY RD, STE I, WEST BLOOMFIELD, MI 48323-2000
(248) 669-5757
(248) 669-2090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F35754
BCBS OF MI PROVIDER ID
MI
Enumeration date
11/22/2006
Last updated
06/15/2009
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