Individual
SHANAY GIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
24335 WALTZ RD, NEW BOSTON, MI 48164-9167
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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