Individual
MRS. ANDREA MARIE-GIMBOSA CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 STEPHENSON HWY, TROY, MI 48083-1110
(248) 616-0950
(734) 893-3154
Mailing address
1604 WITHERBEE DR, TROY, MI 48084-2684
(586) 491-4430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007137
MI
225XN1300X
Neurorehabilitation Occupational Therapist
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Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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