Individual
MS. HALEY THIBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8332
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(692) 983-8332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011272
MI
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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