Individual
ANDREA COLLEEN NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15540 BEECH DALY RD, REDFORD, MI 48239-3804
(313) 537-1110
Mailing address
15540 BEECH DALY RD, REDFORD, MI 48239-3804
(313) 537-1110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009847
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201009847
—
MI
Enumeration date
02/25/2018
Last updated
03/17/2018
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