Individual
COLLEEN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-9793
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
521007960
MI
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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