Individual
MAUREEN MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17330 NORTHLAND PARK CT, SUITE 201, SOUTHFIELD, MI 48075-4318
(248) 809-2853
(248) 809-9921
Mailing address
17330 NORTHLAND PARK CT, SUITE 201, SOUTHFIELD, MI 48075-4318
(248) 809-2853
(248) 809-9921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2331509
TAX ID #
MI
Enumeration date
06/29/2010
Last updated
06/29/2010
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