Individual
PHYLIS MOEHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41215 FOX RUN, NOVI, MI 48377-4803
(248) 668-8655
Mailing address
45625 S LAKE DR, NOVI, MI 48377-3920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005532
MI
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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