Individual
SHRUTI BOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6510 WISTERIA TRCE, ANN ARBOR, MI 48103-6018
(734) 622-0472
Mailing address
6510 WISTERIA TRCE, ANN ARBOR, MI 48103-6018
(734) 622-0472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004763
MI
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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