Individual
MICHAEL GERARD NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA MLD
Contact information
Practice address
4013 GRATIOT AVE, FORT GRATIOT, MI 48059-3919
(810) 385-3026
(810) 385-3026
Mailing address
4013 GRATIOT AVE, FORT GRATIOT, MI 48059-3919
(810) 385-3026
(810) 385-3026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L1358322
MI
Other
Enumeration date
12/05/2008
Last updated
01/27/2009
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