Individual
NICHOLAS CHINZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
39102 AYNESLEY ST, CLINTON TWP, MI 48038-2718
(586) 322-0869
Mailing address
39102 AYNESLEY ST, CLINTON TWP, MI 48038-2718
(586) 322-0869
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64291
CTRS
—
Enumeration date
04/27/2015
Last updated
04/27/2015
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