Individual
BRENDA NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.L.
Contact information
Practice address
564 W HAMPTON RD, ESSEXVILLE, MI 48732-9710
(989) 892-3591
Mailing address
564 W HAMPTON RD, ESSEXVILLE, MI 48732-9710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009751
MI
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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