SUSAN ROSE VERGILIO

WARREN, MI
NPI1447398516
Former NameSUSAN ROSE WALLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201003254)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- SUSAN ROSE VERGILIO otr
13850 E 12 MILE RD STE 2A
WARREN, MI 48088-3730
Phone number: 586-552-4499
Mailing Address
-- SUSAN ROSE VERGILIO otr
13850 E 12 MILE RD STE 2A
WARREN, MI 48088-3730
Phone number: 586-552-4499
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