Individual
JUSTIN THOMAS FELICZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 JEFFREY ST, CEDAR SPRINGS, MI 49319-9572
(616) 696-0170
Mailing address
3205 SOFT WATER LAKE DR NE APT 9-204, GRAND RAPIDS, MI 49525-2748
(231) 510-5079
(231) 510-5079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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