Individual
ADRIAN CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25330 W 6 MILE RD, REDFORD, MI 48240-2105
(313) 531-6874
Mailing address
9655 SALEM, REDFORD, MI 48239-1691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008665
MI
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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