Ajay Dewan

NPI #1205319621 in Macomb, Michigan

Provider Information

NPI Number: 1205319621
Entity Type: Individual
Name: Ajay Dewan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 46363 SWIRLING LEAVES LN
City: Macomb
State: Michigan
ZIP Code: 48044-6200
Phone: (586) 360-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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