Individual
MERRI MARIE MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16219 SUNSET WAY, LINDEN, MI 48451-9639
(810) 624-2513
Mailing address
16219 SUNSET WAY, LINDEN, MI 48451-9639
(810) 624-2513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8106242513
SELECT REHABILITATION
—
Enumeration date
11/19/2019
Last updated
11/19/2019
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