Individual
RUBY RONESSE DOCKERY- BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
30801 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1732
(586) 201-7737
Mailing address
30801 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082-1732
(586) 207-7379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201014072
MI
Other
Enumeration date
02/21/2017
Last updated
11/18/2024
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