Individual
RIELLY MCKENNA SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22310 PONTIAC TRL, SOUTH LYON, MI 48178-1657
(248) 342-2856
Mailing address
845 W LAKE ST UNIT 3, SOUTH LYON, MI 48178-4702
(248) 342-2856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013225
MI
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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