Individual
NICOLE MARIE KANTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 HURONVIEW BLVD, ANN ARBOR, MI 48103-2949
(734) 887-8635
(734) 213-7077
Mailing address
355 HURONVIEW BLVD, ANN ARBOR, MI 48103-2949
(734) 887-8635
(734) 213-7077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008117
MI
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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