NPI 1033349766

Gayle a Munro, COTA

Practitioner Specialist Detroit, MI

Practice location

Address: 5447 Woodward Ave, Detroit, MI 48202-4009
Phone: (313) 832-1100

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 5202002333 (MI)

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Registry record

NPI: 1033349766
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2009
Record last updated: 15 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.