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Individual

MR. DESMOND RANDELL RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30177 CASCADE CT, SOUTHFIELD, MI 48076-2065
(313) 575-2432
Mailing address
30177 CASCADE CT, SOUTHFIELD, MI 48076-2065
(313) 575-2432

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003933
MI

Other

Enumeration date
12/21/2020
Last updated
12/21/2020
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