Individual
JOSEPH THADDEUS SMOLARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
425 E ELM ST, WAYLAND, MI 49348-1109
(269) 792-2249
Mailing address
130 COURT ST, PLAINWELL, MI 49080-1217
(269) 217-7153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005230
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201005230
STATE LICENSE NUMBER
MI
Enumeration date
04/16/2019
Last updated
04/16/2019
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