Individual
MRS. MICHELLE THERESE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
341 N PONTIAC TRL, WALLED LAKE, MI 48390-3438
(248) 330-7795
Mailing address
2024 ALPHA ST, COMMERCE TOWNSHIP, MI 48382-2303
(248) 891-6981
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201001997
MI
Other
Enumeration date
02/02/2010
Last updated
02/13/2015
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