Individual
CAROL CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KINGSLEY CT, FRANKENMUTH, MI 48734-1270
(989) 793-2856
Mailing address
5870 LAWNDALE RD, SAGINAW, MI 48604-9456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000937
MI
Other
Enumeration date
08/01/2006
Last updated
10/08/2007
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