Individual
JANNA MICHELLE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23500 LAHSER RD, SOUTHFIELD, MI 48033-3261
(248) 354-3222
Mailing address
23500 LAHSER RD, SOUTHFIELD, MI 48033-3261
(248) 354-3222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538218631
—
MI
Enumeration date
04/26/2018
Last updated
04/26/2018
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