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Michaela Brooke Hartline, OTR/L

Occupational Therapist in Niles, MI. Individual provider (NPI-1).

NPI number1609574367
StatusActive
Last updated in NPPESMar 26, 2023

Details

NPI
1609574367
Entity type
Individual (NPI-1)
Name
Michaela Brooke Hartline
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 21, 2023
Certification date
Mar 26, 2023
Last updated
Mar 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5201013246MIYes

Practice location

905 N Front St
Niles, MI 49120-1677

Phone 269-683-6800

Mailing address

70903 Carter Ave
Niles, MI 49120-7634

Phone 269-362-0538

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