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Individual

LISA GORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 674-9292
Mailing address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 674-9292

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007542
MI

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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