Individual
REBECCA RATKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2521
Mailing address
52794 WEATHERVANE DR, CHESTERFIELD, MI 48047-3137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023114634
—
MI
Enumeration date
04/22/2021
Last updated
04/22/2021
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