Mr. Al Dg Mandeoya Grande, OTRL
Mr. Al Dg Mandeoya Grande, OTRL is an Occupational Therapist in Wyandotte, Michigan. Licensed in Michigan. Registered with an NPI since 2012.
- Licensed in
- MI
- In the registry since
- 2012
Practice location Address checks out
2333 Biddle AveWyandotte, MI 48192
Phone: (734) 246-7732
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 5201008599 (MI) |
|---|
Record details
| NPI number | 1093064941 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTRL |
| Sole proprietor | No |
| NPI enumerated | September 6, 2012 |
| Last updated in NPPES | June 27, 2018 |
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