Individual
MARTHA PENTLAND ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATR-BC
Contact information
Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
(248) 646-4480
Mailing address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
(248) 646-4480
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
MI
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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