Individual
MAGGIE DOMRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Mailing address
13981 NORTHWOOD HWY, ARCADIA, MI 49613-9733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013946
MI
Other
Enumeration date
01/16/2024
Last updated
10/10/2024
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