Individual provider · Type 1 NPI

Christine Gannon, OTR

Occupational Therapist · St. Clair Shores, MI

NPI number 1184011132 Active

Practice location

20331 Mauer St
St. Clair Shores, MI 48080-1773

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201006130 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1184011132

Christine Gannon, OTR's National Provider Identifier is 1184011132, issued on Apr 16, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 16, 2015.