Individual
MRS. PETRINA LYNN SANTA ANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(586) 263-2481
Mailing address
4768 DREON CT, STERLING HEIGHTS, MI 48310-2623
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
5201006580
MI
Other
Enumeration date
09/13/2007
Last updated
04/20/2021
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