Individual
BRITTANY ELISE HAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 966-8309
(117) 431-3745
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 966-8309
(313) 745-1174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009592
MI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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