Individual
WENDY KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45900 GEDDES RD, CANTON, MI 48188-2306
(734) 879-4100
Mailing address
45900 GEDDES RD, CANTON, MI 48188-2306
(734) 879-4100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
520200836
MI
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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