Individual
NICOLE MARIE FECTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1663 STEPHENSON HWY, TROY, MI 48083-2169
(248) 327-6619
Mailing address
5652 WEIR RD, OSCODA, MI 48750-9484
(989) 724-8037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009908
MI
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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