Individual
MRS. MARY MICHELLE TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 629-0530
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 265-4838
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201003934
MI
Other
Enumeration date
12/03/2014
Last updated
06/23/2023
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