Individual
MISS COLLEEN ROSE PASTUNINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7614
Mailing address
19432 MAYFIELD AVE APT 201, LIVONIA, MI 48152-4205
(616) 298-4781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009806
MI
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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