Provider Demographics
NPI:1598948564
Name:CHADWICK, ANNE MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:CHADWICK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:CYROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:355 BRIARWOOD CIRCLE
Mailing Address - Street 2:4
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-998-7710
Mailing Address - Fax:734-998-9229
Practice Address - Street 1:355 BRIARWOOD CIRCLE
Practice Address - Street 2:4
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-998-7710
Practice Address - Fax:734-998-9229
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002098225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation