Individual
DENISE KRUCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
55264 NILE WAY, MACOMB, MI 48042-6194
(586) 337-0436
(586) 992-8919
Mailing address
48566 PENROSE LN, MACOMB, MI 48044-5550
(586) 337-0436
(586) 992-8919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003693
MI
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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