Individual
MITCHELL CONNOR DEANSMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
29751 LITTLE MACK AVE STE A, ROSEVILLE, MI 48066-6504
(313) 278-4601
Mailing address
15355 LAKESIDE VILLAGE DR APT 206, CLINTON TOWNSHIP, MI 48038-3554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013022
MI
Other
Enumeration date
10/03/2022
Last updated
05/13/2025
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