Individual
ALLYSSIA MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
16885 ARCHDALE ST, DETROIT, MI 48235-3335
(313) 285-0080
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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