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Individual

TAMARA R NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
101 E ALEXANDRINE ST, DETROIT, MI 48201-2011
(248) 643-8900
Mailing address
21840 WOHLFEIL ST, TAYLOR, MI 48180-2849

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008261
MI

Other

Enumeration date
07/27/2017
Last updated
07/27/2017
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