Organization
LIFE SKILLS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DALTON OTRL (OWNER)
(248) 814-9300
Entity
Organization
Contact information
Practice address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 814-9300
(248) 814-0361
Mailing address
3604 CLARKSTON RD, CLARKSTON, MI 48348-5215
(248) 814-9300
(248) 814-0361
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004452
MI
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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