Individual
HEATHER VALLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 340-4442
Mailing address
39026 PINETREE ST, LIVONIA, MI 48150-2483
(734) 673-4363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008640
MI
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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