Individual
ALYSSA BOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S TELEGRAPH RD, MONROE, MI 48161-1611
(734) 240-1950
Mailing address
407 S TELEGRAPH RD, MONROE, MI 48161-1611
(734) 240-1950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009815
MI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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