Individual
MRS. STACEY MROCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 634-3321
Mailing address
4917 SUNNYNOOK COURT NORTH SW, WYOMING, MI 49519-6519
(616) 634-3321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007068
MI
Other
Enumeration date
02/23/2009
Last updated
05/23/2014
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