Individual
MS. ANNA MODESTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 246-9010
Mailing address
1711 PARTINGTON, WINDSOR, ONTARIO N9B2R-2
(734) 246-9010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002961
MI
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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