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Individual

MS. VICKI J BARTNICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
Mailing address
27134 MAYFAIR AVE, BROWNSTOWN TWP, MI 48183-4867

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005519
MI

Other

Enumeration date
12/31/2007
Last updated
12/31/2007
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