Individual
MRS. BROOKE DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
44201 DEQUINDRE RD STE 203A, TROY, MI 48085-1117
(248) 964-4014
Mailing address
57743 NICOLE ST, NEW HAVEN, MI 48048-3310
(269) 501-6228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004825A
IN
225X00000X
Occupational Therapist
Primary
5201007723
MI
Other
Enumeration date
02/02/2010
Last updated
03/17/2018
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