Individual
BARBARA JEAN SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18901 MEYERS RD, DETROIT, MI 48235-1366
(313) 864-0857
(313) 864-0857
Mailing address
24586 DE PHILLIPE DR, FARMINGTON HILLS, MI 48336-2026
(313) 510-4623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003476
MI
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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