Individual
MICHELE NMN CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1651 OLD MEADOW RD, SUITE 600, MC LEAN, VA 22102-4311
(866) 458-1088
Mailing address
917 W 20TH AVE, ANCHORAGE, AK 99503-1712
(907) 279-9217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
898
AK
225XE0001X
Environmental Modification Occupational Therapist
898
AK
225XG0600X
Gerontology Occupational Therapist
898
AK
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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