Individual
LISA MARIE MIRANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33300 UTICA RD, FRASER, MI 48026-2017
(586) 293-3300
Mailing address
34773 E WILMA CT, CHESTERFIELD, MI 48047-4145
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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