Individual
CASEY POLTERAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Mailing address
1924 STONECREST, MILFORD, MI 48381-1126
(616) 745-3931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002026
MI
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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