Individual
MR. RICHARD NATHAN KORNSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7705
Mailing address
35986 FAIR OAKS CT, FARMINGTON HILLS, MI 48331-3118
(248) 488-0244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
12/10/2009
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