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Individual

TAMMY JO KRETOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2589 44TH ST SE, KENTWOOD, MI 49512-3877
(616) 643-2564
Mailing address
1328 RICHFIELD CT SW, BYRON CENTER, MI 49315-9493
(616) 914-4039

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007173
MI

Other

Enumeration date
02/27/2018
Last updated
02/27/2018
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