Individual
MRS. HEATHER TYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 713-9293
Mailing address
4756 DUDLEY ST, DEARBORN HEIGHTS, MI 48125-2629
(734) 837-8925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009882
MI
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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