Individual
MRS. MICHELLE EILEEN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15401 E JEFFERSON AVE, GROSSE POINTE PARK, MI 48230-1328
(313) 824-2401
Mailing address
15401 E JEFFERSON AVE, GROSSE POINTE PARK, MI 48230-1328
(313) 824-2401
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
5201006345
MI
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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