Individual
MR. BRANDON LUBISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
22811 W 7 MILE RD, DETROIT, MI 48219-1739
(313) 242-9100
Mailing address
46505 CHALMERS DR, MACOMB, MI 48044-6221
(586) 354-5408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009853
MI
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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