Individual
BREANNA CELISSE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 TELEGRAPH RD, TAYLOR, MI 48180-3330
(313) 295-5000
Mailing address
41317 CROSSBOW CIR APT 106, CANTON, MI 48188-3134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010615
MI
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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