Individual
CASEY SUSAN MICHALOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 KENDALL ST, SPRINGFIELD, MA 01104-2597
(413) 737-4756
Mailing address
17 GRAVES ST, SOUTH DEERFIELD, MA 01373-1111
(413) 824-2767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14076
MA
Other
Enumeration date
06/29/2021
Last updated
07/15/2021
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