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Individual

PATRICIA SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16200 19 MILE RD, CLINTON TWP, MI 48038-1103
(586) 263-8698
Mailing address
442 MANOR ST, GROSSE POINTE FARMS, MI 48236-3211
(586) 243-9574
(586) 263-8698

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23682
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
MI
Enumeration date
04/29/2009
Last updated
05/05/2009
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