Individual
ANDRAYA LYNN GAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
41155 POND VIEW DR, STERLING HEIGHTS, MI 48314-3891
(586) 217-3908
Mailing address
28425 HENDRIE ST, CHESTERFIELD, MI 48047-5217
(586) 549-1162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013071
MI
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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