Individual
MRS. LISA MARIE VENETTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTAL
Contact information
Practice address
7401 22 MILE RD, SHELBY TWP, MI 48317-2307
(586) 580-5500
Mailing address
20728 GREEN CT, GROSSE POINTE WOODS, MI 48236-1459
(586) 770-3507
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5202007469
MI
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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