Individual
MRS. KRISHAWN EMADAMERHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15400 TRENTON RD, SOUTHGATE, MI 48195-2075
(734) 284-4620
Mailing address
3371 S JOHN HIX RD, WAYNE, MI 48184-1053
(248) 521-0669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003591
MI
Other
Enumeration date
08/03/2018
Last updated
08/28/2019
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