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Stanley Shroads

Occupational Therapy Assistant in Plymouth, MI. Individual provider (NPI-1).

NPI number1861761884
StatusActive
Last updated in NPPESDec 20, 2011

Details

NPI
1861761884
Entity type
Individual (NPI-1)
Name
Stanley Shroads
Sex
Male
Sole proprietor
No
Enumeration date
Dec 20, 2011
Last updated
Dec 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant32002078AINYes

Practice location

705 S Main St
Suite 220
Plymouth, MI 48170-2089

Phone 773-549-5294

Mailing address

705 S Main St
Suite 220
Plymouth, MI 48170-2089

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All 22 Occupational Therapy Assistant providers in Plymouth · All 4,010 providers in Plymouth

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