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NPI Code Detail

MEDICARE: CHRISTINE MARIE WINFREE BS, MOT, OTR

MEDICARE: CHRISTINE MARIE WINFREE BS, MOT, OTR
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 Therapist5201007007MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851886121
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE WINFREE BS, MOT, OTR
Provider Business Mailing Address
First Line : 7125 DELL RD
Second Line :
City : SALINE
State : MI
Zip : 48176-9742
Country : US
Telephone Number : 734-262-6738
Fax Number :
Provider Business Practice Location Address
First Line : 26505 POWERS AVE
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48125-1327
Country : US
Telephone Number : 313-291-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2018
Last Update Date : 06/28/2018

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