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Individual

ALEXIS LYNN RAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTRL

Contact information

Practice address
20251 CARLYSLE ST, DEARBORN, MI 48124-3804
(248) 617-0345
Mailing address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
5201012816
MI
225X00000X
Occupational Therapist

Other

Enumeration date
05/22/2019
Last updated
02/14/2022
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