Individual
GREGORY ELLIS RATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
22172 TWYCKINGHAM WAY, SOUTHFIELD, MI 48034-4709
(248) 355-3644
(248) 355-3644
Mailing address
22172 TWYCKINGHAM WAY, SOUTHFIELD, MI 48034-4709
(248) 355-3644
(248) 355-3644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001974
MI
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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