Individual
MRS. MARY JANE AUDIA-VALLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3747
(313) 343-8724
Mailing address
37244 WOODPOINTE DR, CLINTON TOWNSHIP, MI 48036-1676
(586) 263-4578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5201000979
MI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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