Individual
DANIELLE MATUSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3135 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-4600
Mailing address
3135 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(734) 677-4600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201009811
STATE OF MICHIGAN BOARD OF OCCUPATIONAL THERAPIST
MI
Enumeration date
06/26/2017
Last updated
07/21/2022
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