Individual
DANIELLE MARIE RADJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
14900 SHORELINE DR, STERLING HEIGHTS, MI 48313-2251
(586) 247-4700
Mailing address
49160 CARLOS ST APT 74, CHESTERFIELD, MI 48051-3114
(586) 921-4533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008171
MI
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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