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Individual

PRISCILLA JOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
49750 HUDSON DR, CANTON, MI 48188-1986
(734) 308-2322
Mailing address
49750 HUDSON DR, CANTON, MI 48188-1986
(734) 308-2322

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003604
MI

Other

Enumeration date
05/19/2016
Last updated
05/19/2016
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