Individual
NICOLINA ROSE MCCLIMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1741 N MILDRED ST, DEARBORN, MI 48128-1238
(313) 402-3319
Mailing address
1741 N MILDRED ST, DEARBORN, MI 48128-1238
(313) 402-3319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013104
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201013104
OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
09/16/2022
Last updated
09/16/2022
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