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Individual

NIKKI D BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4554 W 48TH ST, FREMONT, MI 49412
(231) 924-9295
Mailing address
4554 W 48TH ST, FREMONT, MI 49412-8721
(231) 924-9295

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004714
VA
225X00000X
Occupational Therapist
Primary
5201008294
MI

Other

Enumeration date
07/12/2010
Last updated
08/14/2018
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