Healthcare Provider Details

I. General information

NPI: 1346177276
Provider Name (Legal Business Name): CRISTINA MARIA HOLDER-RODRIGUEZ OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 S MAPLE RD STE 2
ANN ARBOR MI
48103-3838
US

IV. Provider business mailing address

635 S MAPLE RD STE 2
ANN ARBOR MI
48103-3838
US

V. Phone/Fax

Practice location:
  • Phone: 734-369-6002
  • Fax: 734-315-0426
Mailing address:
  • Phone: 734-369-6002
  • Fax: 734-315-0426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number107596
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: