Individual
KELLY ANNE SCHRUBBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6445 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2047
(248) 661-1600
Mailing address
6445 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2047
(248) 661-1600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008305
MI
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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