Individual
MS. SUSAN LYNNE POPEK-BOEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
143 CANNELLE CT, CANTON, MI 48187-4587
(734) 262-4786
Mailing address
143 CANNELLE CT, CANTON, MI 48187-4587
(734) 262-4786
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
23270
MI
Other
Enumeration date
01/24/2010
Last updated
01/24/2010
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