Individual
ALYSSA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
11878 HUBBARD ST, LIVONIA, MI 48150-1733
(734) 953-1745
Mailing address
11878 HUBBARD ST, LIVONIA, MI 48150-1733
(734) 953-1745
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013581
MI
Other
Enumeration date
05/26/2025
Last updated
06/18/2025
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