Individual
NATHAN WEIRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
42400 W 12 MILE RD, NOVI, MI 48377-3015
(248) 533-0998
Mailing address
4036 ASH TREE LN, HOWELL, MI 48843-8063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008211
MI
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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