Individual
RENEE GUASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-1730
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009819
MI
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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