Individual
JOSHUA VALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310
(586) 979-8118
Mailing address
46279 EMERSON CT, MACOMB, MI 48044
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69300
MI
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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