Individual
AJAY DEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46363 SWIRLING LEAVES LN, MACOMB, MI 48044-6200
(586) 360-7503
Mailing address
46363 SWIRLING LEAVES LN, MACOMB, MI 48044-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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