Individual
ELLEN MARVEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
(517) 272-4029
(517) 272-4035
Mailing address
11733 SARA ANN DR, DEWITT, MI 48820-7793
(517) 281-9741
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003844
MI
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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