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MR. JEFFERY RANSOM FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 961-4890
Mailing address
9854 COLWELL AVE, ALLEN PARK, MI 48101-1315

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
5202007521
MI

Other

Enumeration date
07/17/2014
Last updated
07/17/2014
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