Organization
CANTON BCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD KOZA (CEO)
(248) 860-6212
Entity
Organization
Contact information
Practice address
39453 FORD RD, CANTON, MI 48187-4320
(248) 277-3005
Mailing address
39453 FORD RD, CANTON, MI 48187-4320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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