Individual
KIM MICHAEL KOZAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4574
Mailing address
1783 OXFORD RD, GROSSE POINTE WOODS, MI 48236-1823
(313) 332-0586
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005624
MI
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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