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Individual

SUSAN M BATTAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34095 PLYMOUTH RD, LIVONIA, MI 48150-1511
(734) 513-2000
Mailing address
39567 URBANA DR, STERLING HEIGHTS, MI 48313-5655
(586) 932-6190

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007108
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5202007108
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/13/2014
Last updated
02/13/2014
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