Individual
MARCIE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36622 FIVE MILE RD, SUITE 102, LIVONIA, MI 48154-1900
(734) 542-9970
Mailing address
36622 FIVE MILE RD, SUITE 102, LIVONIA, MI 48154-1900
(734) 542-9970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005889
MI
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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