Individual
NICOLE FARRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
400 NORTH ST W, TAWAS CITY, MI 48763-9161
(989) 362-8647
Mailing address
5679 TOWERLINE RD, HALE, MI 48739
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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