Individual
CATHERINE DESLANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Mailing address
5447 WOODWARD AVE, DETROIT, MI 48202-4009
(313) 832-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201006781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201006781
MICHIGAN OT LICENSE
MI
Enumeration date
06/11/2009
Last updated
06/11/2009
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