Individual
MELISSA RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7454
Mailing address
16540 MARSHA ST, LIVONIA, MI 48154-1245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002968
MI
Other
Enumeration date
02/23/2018
Last updated
03/17/2018
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