Individual
BLAIN MARIE ANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1650 BARLOW ST, SUITE 11, TRAVERSE CITY, MI 49686-4721
(231) 941-3100
(231) 922-0382
Mailing address
1650 BARLOW ST, SUITE 11, TRAVERSE CITY, MI 49686-4721
(231) 941-3100
(231) 922-0382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006868
MI
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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