OTIS KEMUTAMBAH

PLYMOUTH, MI
NPI1508465022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201011022)
Enumeration Date2020-10-26
Last Update Date2020-10-26
Business Address
OTIS KEMUTAMBAH
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number: 248-349-9595
Mailing Address
OTIS KEMUTAMBAH
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number:
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