Individual
REBECCA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6739 S LUCE AVE, FREMONT, MI 49412-7390
(231) 414-0438
Mailing address
6739 S LUCE AVE, FREMONT, MI 49412-7390
(231) 414-0438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007514
MI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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