Individual
JESSICA BELICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2425 TORQUAY AVE, APT 108, ROYAL OAK, MI 48073-1158
(734) 497-9273
Mailing address
2425 TORQUAY AVE, APT 108, ROYAL OAK, MI 48073-1158
(734) 497-9273
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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