Individual
ELYSE RAE KOMARZEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
44560 FORD RD STE A, CANTON, MI 48187-2944
(734) 680-8780
Mailing address
9151 HOUGHTON ST, LIVONIA, MI 48150-3445
(248) 212-7938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010646
MI
Other
Enumeration date
10/01/2019
Last updated
11/22/2024
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