Individual
ANGELA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30821 BARRINGTON ST, MADISON HEIGHTS, MI 48071-1871
(248) 965-3916
Mailing address
3142 GRANGE RD, TRENTON, MI 48183-3455
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201014055
MI
Other
Enumeration date
05/09/2021
Last updated
10/31/2024
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