Individual
BRITTNEY AGNES MISSANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W SQUARE LAKE RD, BLOOMFIELD TOWNSHIP, MI 48302-0463
(248) 282-4088
Mailing address
46772 HARVESTER CT, MACOMB, MI 48044-6211
(586) 212-5537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013252
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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