Individual
KIMBERLY MARIE MAKSOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22255 GREENFIELD RD STE 118, SOUTHFIELD, MI 48075-3700
(248) 849-3907
Mailing address
22255 GREENFIELD RD STE 118, SOUTHFIELD, MI 48075-3700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000334
MI
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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