Individual
MISS OLIVIA ROSE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(866) 812-8896
Mailing address
3514 CLAIRMONT ST, FLINT, MI 48503-6608
(810) 282-4216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010054
MI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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