Individual
MR. GARY JOSEPH MAGIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7760
Mailing address
14211 MULBERRY ST, SOUTHGATE, MI 48195-2588
(734) 309-0301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201002938
MICHIGAN LICENSE
MI
Enumeration date
02/22/2018
Last updated
02/22/2018
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