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Individual

KATRINA MARIA DECANINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, LSVT

Contact information

Practice address
18245 E 10 MILE RD STE 130, ROSEVILLE, MI 48066-5807
(586) 774-3100
Mailing address
18245 E 10 MILE RD STE 130, ROSEVILLE, MI 48066-5807

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MI
225XH1200X
Hand Occupational Therapist
MI
225XP0019X
Physical Rehabilitation Occupational Therapist
MI

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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