Individual
BRITNI MAFFESOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 KEYLON DR, WEST BLOOMFIELD, MI 48324-1334
(248) 420-3511
Mailing address
2385 KEYLON DRIVE, WEST BLOOMFIELD, MI 48324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116494
TX
225X00000X
Occupational Therapist
Primary
5201008890
MI
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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