Individual
FREDRICK BUBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W ANN ARBOR TRL, STE 200, PLYMOUTH, MI 48170-1694
(734) 354-8000
Mailing address
801 W ANN ARBOR TRL, STE 200, PLYMOUTH, MI 48170-1694
(734) 354-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT - 03921
OH
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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