Individual
HALEY ZIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
415 MUNSON AVE STE 101, TRAVERSE CITY, MI 49686-3059
(231) 486-6330
(231) 486-6329
Mailing address
415 MUNSON AVE STE 101, TRAVERSE CITY, MI 49686-3059
(231) 486-6330
(231) 486-6329
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201010098
MI
Other
Enumeration date
12/20/2016
Last updated
07/24/2020
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