Individual
RUT GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST STE 220, PLYMOUTH, MI 48170-5436
(773) 549-5294
Mailing address
705 S MAIN ST STE 220, PLYMOUTH, MI 48170-5436
(773) 549-5294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2395
CA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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