Individual
NICOLE MARIE ZACHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4695
Mailing address
57833 APPLE LN, NEW HUDSON, MI 48165-9557
(248) 842-9883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009401
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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