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Individual
TERESA SWEENEY
Active
Individual
TERESA SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001282
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306227764
—
MI
Enumeration date
06/13/2018
Last updated
06/13/2018
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