MR. Mark Anthony Bores II
NPI #1396221107 in South Lyon, Michigan
Provider Information
- NPI Number
- 1396221107
- Entity Type
- Individual
- Name
- MR. Mark Anthony Bores II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jul 15, 2018
- Last Updated
- Jul 15, 2018
Practice Location
- Address
- 1168 SHETLAND DR
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-5317
- Phone
- (248) 921-8965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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