Individual
OLIVERA AVRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33875 KIELY DR, CHESTERFIELD, MI 48047-3604
(596) 725-6030
Mailing address
5975 REA CT, WEST BLOOMFIELD, MI 48322-4801
(586) 303-7001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
MI
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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