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Individual

MS. DEBRA ANN BEEVER-GORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 714-2237
Mailing address
628 SHORELINE DR, FENTON, MI 48430-4124
(248) 977-9779

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002548
MI

Other

Enumeration date
01/28/2012
Last updated
01/28/2012
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