Individual
MADISON MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1203
Mailing address
3330 ELLWOOD AVE, ROYAL OAK, MI 48073-6519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011083
MI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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