Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201003800 | MI |
NPI | 1154890614 |
---|---|
Provider Name | Debra Lynn Ferman |
First Address | Dearborn Heights, MI 48127-2920 |
Second Address | Dearborn Heights, MI 48127-2920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 14/11/2018 |