Individual
MELISSA MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
15870 N HAGGERTY RD, PLYMOUTH, MI 48170-4872
(734) 420-7917
Mailing address
21605 SUPERIOR RD, TAYLOR, MI 48180-4752
(313) 641-4992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008243
MI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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