Individual
MAXIMILLIAN MYLES CASTORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35735 MOUND RD, STERLING HEIGHTS, MI 48310-4728
(586) 510-7997
Mailing address
26420 W WARREN ST, DEARBORN HEIGHTS, MI 48127-1944
(313) 676-7397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
459422
MI
Other
Enumeration date
09/08/2021
Last updated
06/18/2024
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