Individual
MISS SHELLY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3751 2ND AVE APT 1A, DETROIT, MI 48201-1751
(313) 443-6925
Mailing address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(734) 855-4490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201013297
MI
Other
Enumeration date
11/21/2017
Last updated
04/07/2023
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