Individual
MICHELE FRANCES GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5123
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005910
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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