Individual
MRS. CAROL CHRISEKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2075 E WEST MAPLE RD STE B-204, COMMERCE TOWNSHIP, MI 48390-3816
(248) 926-0909
Mailing address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201000972
MI
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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