Individual
DEBRA SUSAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
Mailing address
910 MCDOUGAL ST, MONROE, MI 48162-6716
(734) 777-5030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2203622
MI
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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