Individual
MRS. REEM MARIAM MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
44125 WEST 12 MILE RD E-123, NOVI, MI 48377
(248) 952-4340
Mailing address
8684 GOLF LANE DR., COMMERCE TWP, MI 48382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009132
MI
Other
Enumeration date
05/27/2015
Last updated
01/22/2019
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