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1063711091
AMY EMILY ANSARA
MADISON HEIGHTS, MI
NPI
1063711091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007924)
Enumeration Date
2011-03-16
Last Update Date
2011-03-17
Business Address
Miss AMY EMILY ANSARA OTR/L
1432 E 12 MILE RD
MADISON HEIGHTS, MI 48071-2651
Phone number: 248-543-4886
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Mailing Address
Miss AMY EMILY ANSARA OTR/L
42615 GARFIELD RD
CLINTON TOWNSHIP, MI 48038-1653
Phone number: 586-412-2845
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