Individual
VICKIE MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CHESTERFIELD PKWY, EAST LANSING, MI 48823-4110
(517) 574-5697
Mailing address
225 CHESTERFIELD PKWY, EAST LANSING, MI 48823-4110
(517) 574-5697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007696
MI
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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