Individual
HEATHER RENEE GEORGIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8380 GEDDES RD, YPSILANTI, MI 48198-9404
(734) 547-7600
Mailing address
8380 GEDDES RD, YPSILANTI, MI 48198-9404
(734) 547-7600
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201007331
MI
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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