Individual
MARU OCROSPOMA VEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 293-3300
Mailing address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 293-3300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007331
MI
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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