Individual
CHRIS GROULX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
14145 SIMONE DR, SHELBY TWP., MI 48315
(586) 566-6280
Mailing address
20178 ELECTRA, CLINTON TOWNSHIP, MI 48035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007228
MI
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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