Individual
MARY SHENOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43707 HAYES RD, STERLING HEIGHTS, MI 48313-2271
(586) 580-4879
Mailing address
43707 HAYES RD, STERLING HEIGHTS, MI 48313-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009353
MI
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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