Individual
MICHELLE WIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
555 HIGHLAND AVE, MILFORD, MI 48381-1517
(248) 685-1460
Mailing address
158 EAGLE WAY, SOUTH LYON, MI 48178-1288
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201002758
MI
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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