Individual
MICHELLE POTOCSKY MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
5640 W MAPLE RD STE 204, WEST BLOOMFIELD, MI 48322-3718
(248) 318-6654
Mailing address
2371 HIDDEN LAKE CT, WEST BLOOMFIELD, MI 48324-3303
(248) 363-5631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002607
MI
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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