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Individual

CLAUDIA JEANNE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3895 LONE PINE RD APT 302, WEST BLOOMFIELD, MI 48323-2939
(248) 722-5012
Mailing address
3895 LONE PINE RD APT 302, WEST BLOOMFIELD, MI 48323-2939

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1145
CA
224Z00000X
Occupational Therapy Assistant
Primary
5202006895
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P600119385184
DRIVERS LICENSE
MI
Enumeration date
09/08/2020
Last updated
09/08/2020
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