Individual
ALYSSA R MARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20675 BALINSKI DR, CLINTON TOWNSHIP, MI 48038-5611
(586) 942-2910
Mailing address
20675 BALINSKI DR, CLINTON TOWNSHIP, MI 48038-5611
(586) 942-2910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007820
VA
225X00000X
Occupational Therapist
119263
TX
225X00000X
Occupational Therapist
OT.0005489
CO
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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