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Individual

MRS. HEATHER SJOGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
1399 PRINCETON RD, BERKLEY, MI 48072-3022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007622
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201007622
OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
03/02/2018
Last updated
03/02/2018
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