Individual
MICHAELA BROOKE HARTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
905 N FRONT ST, NILES, MI 49120-1677
(269) 683-6800
Mailing address
70903 CARTER AVE, NILES, MI 49120-7634
(269) 362-0538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013246
MI
Other
Enumeration date
02/21/2023
Last updated
03/26/2023
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