Individual
BEVERLY EILEEN CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
7794 PAINT CREEK DR, YPSILANTI, MI 48197-6139
(734) 352-3543
Mailing address
1669 CRESTVIEW DR, CANTON, MI 48188-2042
(734) 564-5401
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
68199
MI
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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