Individual
CASEY BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15581 EASTWOOD ST, MONROE, MI 48161-3606
(734) 735-4237
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008578
MI
Other
Enumeration date
03/07/2018
Last updated
02/03/2021
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