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Individual

BARBARA FUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
42005 W 12 MILE RD, NOVI, MI 48377-3113
(248) 305-7370
Mailing address
42005 W 12 MILE RD, NOVI, MI 48377-3113

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201000733
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225X00000X
MI
Enumeration date
05/24/2018
Last updated
05/24/2018
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