Individual
PAULA FORESI DZIURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0183
Mailing address
6564 LONGWORTH DR, WATERFORD, MI 48329-1341
(248) 408-9592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001554
MI
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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