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1568953859
DIANE BALLARD THOMSON
DETROIT, MI
NPI
1568953859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201003167)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
DIANE BALLARD THOMSON MS, OTR/L, ATP
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-1004
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Mailing Address
DIANE BALLARD THOMSON MS, OTR/L, ATP
4250 PEARL CT
DEXTER, MI 48130-9489
Phone number: 734-604-1498
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