Organization
LIGHTHOUSE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLYSON DOLL ANDREWS (CEO)
(313) 888-1444
Entity
Organization
Contact information
Practice address
910 S WASHINGTON AVE, ROYAL OAK, MI 48067-3216
(313) 471-4511
Mailing address
24600 MANISTEE ST, OAK PARK, MI 48237-1712
(313) 888-1444
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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