Individual
MR. GIAN CARLO CORTEZ ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
13657 MARTIN RD, WARREN, MI 48088-4304
(586) 337-1009
Mailing address
13657 MARTIN RD, WARREN, MI 48088-4304
(586) 337-1009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008343
MI
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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