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Individual

ERIN RENEE DESGRANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA-L

Contact information

Practice address
2457 S VASSAR RD, DAVISON, MI 48423-2338
(810) 610-5542
Mailing address
2457 S VASSAR RD, DAVISON, MI 48423-2338
(810) 610-5542

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007139
MI

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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