Individual
DONNA BAULDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33000 ANNAPOLIS ST STE 210, WAYNE, MI 48184-2920
(734) 467-4134
Mailing address
610 MCKINLEY CIR, CANTON, MI 48188-6688
(734) 673-7827
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201004860
MI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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