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1114388196
LISA BURGESS
LIVONIA, MI
NPI
1114388196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202004300)
Enumeration Date
2016-03-17
Last Update Date
2016-03-17
Business Address
-- LISA BURGESS cota
38777 6 MILE RD STE 209
LIVONIA, MI 48152-2660
Phone number: 248-762-6501
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Mailing Address
-- LISA BURGESS cota
22947 TUCK RD
FARMINGTON HILLS, MI 48336-3458
Phone number: 248-762-6501
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