Individual
MIRANDA MARIE ROMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Mailing address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13113
NC
225X00000X
Occupational Therapist
Primary
5201012946
MI
Other
Enumeration date
04/06/2020
Last updated
08/08/2022
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