Individual
THERESA MARIE DUBAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
(734) 287-8332
Mailing address
34237 TONQUISH TRL, WESTLAND, MI 48185-7042
(734) 728-8256
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202006807
OCCUPATIONAL THERAPY ASSISTANT REGISTRATION
MI
Enumeration date
11/20/2013
Last updated
11/20/2013
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