Individual
MR. RONALD GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
2416 BACON AVE, BERKLEY, MI 48072-1074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L907239
MI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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