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NPI Code Detail

MEDICARE: KRISTIE DIONNE STOKES

MEDICARE:   KRISTIE DIONNE STOKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201005856MI

General Provider Information

NPI Number : 1205072741
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE DIONNE STOKES
Provider Business Mailing Address
First Line : 33228 W 12 MILE RD
Second Line : SUITE 232
City : FARMINGTON HILLS
State : MI
Zip : 48334-3309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33228 W 12 MILE RD
Second Line : SUITE 232
City : FARMINGTON HILLS
State : MI
Zip : 48334-3309
Country : US
Telephone Number : 313-832-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2009
Last Update Date : 01/06/2009

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Directions to “ KRISTIE DIONNE STOKES ” Practice Location

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