Individual
NICOLE HUFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
Mailing address
8111 TANAGER LN NE, ROCKFORD, MI 49341-9374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006810
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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