Individual
NICOLE FARRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008432
MI
225XG0600X
Gerontology Occupational Therapist
5201008432
MI
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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