Individual
MS. MELISSA SARA KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
25700 LAHSER RD, SOUTHFIELD, MI 48033-5809
(248) 415-2500
Mailing address
34710 MAPLEGROVE DR APT F, STERLING HEIGHTS, MI 48312-4782
(586) 747-1241
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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