Individual
ADELE LOCICERO VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
422 CLINTON ST, WYANDOTTE, MI 48192-2620
(734) 284-1578
Mailing address
422 CLINTON ST, WYANDOTTE, MI 48192-2620
(734) 284-1578
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201005622
MI
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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