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Individual

MEGAN MARIE KANUSZEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1650 RALEIGH ST UNIT 245, DENVER, CO 80204-2169
(517) 763-3636
Mailing address
1650 RALEIGH ST UNIT 245, DENVER, CO 80204-2169
(517) 763-3636

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
CO
Enumeration date
02/22/2022
Last updated
02/22/2022
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