Individual
MISS KENDRA LYNN SMIATOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 LAURENCE AVE STE B, JACKSON, MI 49202-2978
(517) 750-4777
Mailing address
236 E MILLER AVE, MILAN, MI 48160-1126
(734) 239-3685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009557
MI
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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