Individual
MARISSA KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39393 VAN DYKE AVE STE 105, STERLING HEIGHTS, MI 48313-4636
(586) 722-7524
Mailing address
8366 18 MILE RD APT 104, STERLING HTS, MI 48313-3031
(158) 658-8562
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
82546
MI
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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