Individual
DEANETTE L WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8542 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(734) 449-4649
Mailing address
2157 CRISTINA ANNE CT, HOWELL, MI 48855-6309
(517) 376-6651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004933
MI
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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