Individual
ALICIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17430 MORAN ST, DETROIT, MI 48212-1168
(313) 733-4098
Mailing address
17430 MORAN ST, DETROIT, MI 48212-1168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008587
MI
Other
Enumeration date
08/15/2018
Last updated
03/02/2021
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