VICTORIA LYNN FAIRLEY-GREEN

LIVONIA, MI
NPI1568998003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007270)
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
VICTORIA LYNN FAIRLEY-GREEN COTAL
17177 N LAUREL PARK DR STE 417
LIVONIA, MI 48152-3952
Phone number: 734-666-5995
Mailing Address
VICTORIA LYNN FAIRLEY-GREEN COTAL
29221 MARK AVE
MADISON HEIGHTS, MI 48071-4469
Phone number: 248-677-4174
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