Individual
MRS. EILEEN BARBARA SOMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, M, A REGISTERED
Contact information
Practice address
11930 WHITMORE LAKE RD., SUITE I-M, WHITMORE LAKE, MI 48189
(734) 449-4649
(734) 449-4669
Mailing address
11930 WHITMORE LAKE RD., SUITE I-M, WHITMORE LAKE, MI 48189
(734) 449-4649
(734) 449-4669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002315
MI
225XP0200X
Pediatric Occupational Therapist
5201002315
MI
Other
Enumeration date
12/05/2006
Last updated
02/19/2013
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