AEJA KELLY WHITE

DETROIT, MI
NPI1851428429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201006220)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- AEJA KELLY WHITE otr
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3744
Mailing Address
-- AEJA KELLY WHITE otr
440 ROLAND RD
GROSSE POINTE FARMS, MI 48236-2848
Phone number: