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Individual

MRS. SHEILA MARY MALONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
29600 WIXOM RD, WIXOM, MI 48393-3430
(248) 960-1600
(248) 960-9755
Mailing address
42615 GARFIELD ROAD, CLINTON TOWNSHIP, MI 48038
(586) 412-2846
(586) 412-7087

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002219
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0N45090
MEDICARE GRP PTAN
MI
Enumeration date
07/31/2006
Last updated
05/19/2008
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