THERESA SOUTHWORTH

PLYMOUTH, MI
NPI1609433119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201001025)
Enumeration Date2019-05-21
Last Update Date2019-05-21
Business Address
THERESA SOUTHWORTH
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number: 248-349-9595
Mailing Address
THERESA SOUTHWORTH
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number:
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