Individual
MRS. CHRISTINE A NAZARETH-HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4014
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 217-0072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201008355
—
MI
Enumeration date
02/19/2018
Last updated
01/13/2020
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