Individual
KANITA REDZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
145 S MAIN ST STE 4, WAYLAND, MI 49348-1702
(269) 792-2353
Mailing address
145 S MAIN ST STE 4, WAYLAND, MI 49348-1702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010379
MI
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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