Individual
ANGELA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002186
MI
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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