Individual
DIVYA RAMA KARUMANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7139 CREEKS XING, WEST BLOOMFIELD, MI 48322-3504
(323) 633-2276
Mailing address
7139 CREEKS XING, WEST BLOOMFIELD, MI 48322-3504
(323) 633-2276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013737
MI
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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