Individual
ALLISON DAMA AFFANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2378 WOODLAKE DR STE 280, OKEMOS, MI 48864-6016
(517) 256-9370
Mailing address
2210 NORTHWEST AVE, LANSING, MI 48906-3654
(517) 256-9370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010178
MI
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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