Individual
MRS. MARY R CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15870 N HAGGERTY RD, PLYMOUTH, MI 48170-4872
(734) 420-7917
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202000833
MI
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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