Individual
MISS SHEILAH RIVADA BOSQUE-BANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0190
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010787
MI
Other
Enumeration date
05/24/2021
Last updated
06/09/2021
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