Organization
BWC BRIGHTON LLC
Active
Other names
Blossom Children's Center-Brighton
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD KOZA (CEO AND FOUNDER)
(248) 860-6212
Entity
Organization
Contact information
Practice address
8175 MOVIE DR, BRIGHTON, MI 48116-7444
(248) 277-3005
Mailing address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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