Individual
JULIANE CHRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7508 M E CAD BLVD, SUITE A, CLARKSTON, MI 48348-4281
(248) 922-9200
(248) 922-9700
Mailing address
2768 SADDLE LN, DRYDEN, MI 48428-9659
(810) 516-8171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002210
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851517973
CORPORATION NPI
MI
Enumeration date
05/16/2007
Last updated
07/08/2007
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