Individual
NINA PETRYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19550 POTOMAC DR, MACOMB, MI 48044-4234
(586) 484-0870
Mailing address
19550 POTOMAC DR, MACOMB, MI 48044-4234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001350
MI
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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