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Individual

MRS. ANNETTA HARDAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
26776 W 12 MILE RD STE 101, SOUTHFIELD, MI 48034-7807
(248) 450-3183
Mailing address
26776 W 12 MILE RD STE 101, SOUTHFIELD, MI 48034-7807
(248) 450-3183

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201000367
MI

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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