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Individual

MRS. STARR REBECCA CARUTHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.T.R.S.

Contact information

Practice address
15000 GRATIOT AVE, DETROIT, MI 48205-1973
(313) 245-0600
Mailing address
22022 SHARKEY ST, CLINTON TWP, MI 48035-3664
(586) 648-8200

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53614
MI

Other

Enumeration date
01/09/2007
Last updated
07/08/2007
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