Individual
ALISSA RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6333
Mailing address
3075 W CLARK RD # SUUTE200, YPSILANTI, MI 48197-1103
(734) 528-9760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007240
MI
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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