Individual
CHARLES HARRY KLIMUSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
(586) 791-9203
(586) 693-7365
Mailing address
8131 E JEFFERSON AVE, DETROIT, MI 48214-2610
(586) 791-9203
(586) 693-7365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002874
MI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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