Individual
KAYCEE ODZIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
52503 STAFFORD DR, MACOMB, MI 48042-3816
(586) 430-1333
(586) 430-4691
Mailing address
52503 STAFFORD DR, MACOMB, MI 48042-3816
(586) 430-1333
(586) 430-4691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003709
MI
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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