Individual
BRANDON NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2720 RIVERSIDE DR, PORT HURON, MI 48060-2653
(810) 984-3101
Mailing address
210 W 5TH ST, IMLAY CITY, MI 48444-1037
(989) 494-8611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012852
MI
Other
Enumeration date
02/18/2022
Last updated
01/24/2024
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