Individual
CHRISTINE GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
20331 MAUER ST, SAINT CLAIR SHORES, MI 48080-1773
(586) 218-7594
Mailing address
20331 MAUER ST, SAINT CLAIR SHORES, MI 48080-1773
(586) 218-7594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006130
MI
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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