AMIE DAWN DETHARIDGE

DETROIT, MI
NPI1407115215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201007935)
Enumeration Date2012-05-14
Last Update Date2019-07-17
Business Address
Mrs. AMIE DAWN DETHARIDGE OTRL
7800 W OUTER DR STE 300
DETROIT, MI 48235-3458
Phone number: 313-340-4442
Mailing Address
Mrs. AMIE DAWN DETHARIDGE OTRL
29506 CLARITA ST
LIVONIA, MI 48152-1944
Phone number:
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