Individual
MISS ALYSSA LYNN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-OTR/L
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007630
MI
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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