Individual
MARY HARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
30795 23 MILE RD, CHESTERFIELD, MI 48047-5720
(586) 421-3030
Mailing address
52010 D W SEATON DR, CHESTERFIELD, MI 48047-1461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201002214
STATE OF MICHIGAN
MI
Enumeration date
09/27/2018
Last updated
04/15/2021
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