Individual
MS. AUGUSTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CHT
Contact information
Practice address
22731 NEWMAN ST, DEARBORN, MI 48124-2034
(313) 791-0616
Mailing address
22731 NEWMAN, DEARBORN, MI 48124
(313) 791-0616
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201004368
MI
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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