Individual
CAROL TIMOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST, SUITE 220, PLYMOUTH, MI 48170-2089
(734) 354-8000
(734) 468-2668
Mailing address
705 S MAIN ST, SUITE 220, PLYMOUTH, MI 48170-2089
(734) 354-8000
(734) 468-2668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
MI 5202007001
MI
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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