Individual
GRACIE LEA CABANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6230 STATE RD, SALINE, MI 48176-9832
(734) 470-0022
Mailing address
13174 CURTIS RD, GRASS LAKE, MI 49240-9756
(517) 748-1213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013905
MI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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