Individual
MRS. DEBRA JILL LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
818 RIVERSIDE AVE, ADRIAN, MI 49221-1446
(517) 424-3239
Mailing address
5195 SCHNEIDER RD, ANN ARBOR, MI 48103-9589
(734) 652-5552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006648
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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