Individual
KIRSTEN TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
29230 RYAN RD STE D, WARREN, MI 48092-4274
(586) 459-5680
Mailing address
4431 ELMWOOD AVE, ROYAL OAK, MI 48073-1519
(248) 909-0133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010930
MI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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