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Individual

CHARMAINE EVETTE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2685 W MAPLE RD, TROY, MI 48084-7122
(248) 965-7900
Mailing address
2015 S LOVINGTON DR APT 105, TROY, MI 48083-5818
(313) 505-3778

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006835
MI

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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