Individual
MRS. JEANETTE MARIE MONTI-CHUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.L.
Contact information
Practice address
35746 HARPER AVE, CLINTON TWP, MI 48035-3212
(586) 791-9203
Mailing address
28736 COLERIDGE ST, HARRISON TWP, MI 48045-2264
(586) 463-1296
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003191
MI
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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