Individual
MRS. NICOLE LYNN DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1000 PAVILLIONS CIR, TRAVERSE CITY, MI 49684-3198
(231) 932-3000
Mailing address
18071 VIRGINIA CIR, INTERLOCHEN, MI 49643-8604
(989) 529-1354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007843
MI
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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