Individual
DIANNE SMUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
198 S MAIN ST, MOUNT CLEMENS, MI 48043-7917
(586) 477-1402
Mailing address
25046 SHERWOOD CIR, SOUTHFIELD, MI 48075-1932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001592
MI
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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