BRYONY FAWNE DEROSE

DEARBORN, MI
NPI1689875841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: MI  5201005966)
Enumeration Date2007-05-29
Last Update Date2008-02-19
Business Address
Mrs. BRYONY FAWNE DEROSE OTR
22731 NEWMAN STREET SUITE100B
DEARBORN, MI 48124
Phone number: 313-791-0616
Mailing Address
Mrs. BRYONY FAWNE DEROSE OTR
22731 NEWMAN SUITE 100B
DEARBORN, MI 48124
Phone number: 313-791-0616