Individual
MATT JAY MALEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
Mailing address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
23636
MI
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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