Individual
NADINE M GHISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
19830 MIDDLEBELT RD, LIVONIA, MI 48152-2048
(734) 245-0010
(734) 245-0007
Mailing address
33900 HARPER AVE, SUITE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 419-9103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007361
MI
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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