Individual
AARON WIENCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
36622 FIVE MILE RD STE 215, LIVONIA, MI 48154-1900
(734) 542-9770
Mailing address
36622 FIVE MILE RD STE 102, LIVONIA, MI 48154-1900
(734) 542-9770
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201010574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010574
STATE LICENSE
MI
Enumeration date
04/18/2019
Last updated
06/13/2024
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