Individual
JUANITA SAMANTHA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6837 GRANDVILLE AVE, DETROIT, MI 48228-3984
(313) 808-3503
Mailing address
6837 GRANDVILLE AVE, DETROIT, MI 48228-3984
(313) 808-3503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004127
MI
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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