Individual
GABRIELLA GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19747 GARY LN, LIVONIA, MI 48152-1168
(810) 853-7757
Mailing address
19747 GARY LN, LIVONIA, MI 48152-1168
(810) 853-7757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010393
MI
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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