TAKESHI MIZOBUCHI

DETROIT, MI
NPI1376034025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201009310)
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
TAKESHI MIZOBUCHI
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100
Mailing Address
TAKESHI MIZOBUCHI
261 MACK AVE
DETROIT, MI 48201-2495
Phone number: 313-745-1100