Individual
SHANNON MARGARET POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
29972 RICHLAND ST, LIVONIA, MI 48150-3044
(734) 673-2864
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
620765586744
MI
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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