STACEY ANN ETHERTON-AGIUS

DETROIT, MI
NPI1851884076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: MI  5201001866)
Enumeration Date2018-06-12
Last Update Date2018-06-16
Business Address
Mrs. STACEY ANN ETHERTON-AGIUS OTRL
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-0982
Mailing Address
Mrs. STACEY ANN ETHERTON-AGIUS OTRL
1789 BROADSTONE RD
GROSSE POINTE WOODS, MI 48236-1950
Phone number: 313-212-9722
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