Individual
ALEXIS ROSE KWASNIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
44600 5 MILE RD, NORTHVILLE, MI 48168-9602
(248) 697-2900
Mailing address
227 OSPREY ST, WALLED LAKE, MI 48390-3342
(248) 421-8896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011363
MI
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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