Individual
TRICIA MICHELLE FORGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1998 DORCHESTER DR. N 106, TROY, MI 48084
(248) 361-0716
Mailing address
1998 DORCHESTER DR N APT 106, TROY, MI 48084-8321
(248) 361-0716
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
52240
MI
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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