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Individual

MRS. GINA MARIE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4443 GRAND BLANC RD, SWARTZ CREEK, MI 48473-9136
(810) 625-0804
Mailing address
4443 GRAND BLANC RD, SWARTZ CREEK, MI 48473-9136
(810) 625-0804

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006806
MI

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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