Individual
MS. CHRISTINE THERESA BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
28234 PENNIE, DEARBORN HEIGHTS, MI 48125
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002754
MI
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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