Individual
MRS. HOLLY NIXON MOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
21147 LUJON DR, NORTHVILLE, MI 48167-9329
(205) 213-4688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009079
MI
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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