Vickie Mara

NPI 1083042857 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1083042857
Gender Female
Enumeration Date 10/14/2013
Last Updated 10/14/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
225 CHESTERFIELD PKWY
EAST LANSING MI, 48823-4110, US
Phone (517) 574-5697
Fax
Business Location
225 CHESTERFIELD PKWY
EAST LANSING MI, 48823-4110, US
Phone (517) 574-5697
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Michigan
License Number 5202007696
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According to our database, Vickie Mara NPI is 1083042857, taxonomy code is 224Z00000X and license number is 5202007696, license state is located at Michigan. Vickie Mara physically located at 225 Chesterfield Pkwy, East Lansing MI, 48823-4110. NPI Number Vickie Mara has the Individual type.

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1083042857 NPI number is provided on an as is basis without warranty of any kind. 1083042857 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Mara are for informational purposes only.