Organization
INNER CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MINTZ OTR/L (OWNER)
(248) 318-6654
Entity
Organization
Contact information
Practice address
6400 FARMINGTON RD, STE 114, WEST BLOOMFIELD, MI 48322-4454
(248) 318-6654
(248) 562-3031
Mailing address
6400 FARMINGTON RD, STE 114, WEST BLOOMFIELD, MI 48322-4454
(248) 318-6654
(248) 562-3031
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
MI
Other
Enumeration date
11/14/2013
Last updated
11/19/2013
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