Individual
MR. GAURAV CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4512 N SAGINAW RD, #317 B, MIDLAND, MI 48640-2369
(248) 767-7568
Mailing address
4512 N SAGINAW RD, #317 B, MIDLAND, MI 48640-2369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004576
MI
Other
Enumeration date
05/26/2007
Last updated
11/19/2010
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