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Individual

MR. MICHAEL POLYDORAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L, CEAS

Contact information

Practice address
14349 TELEGRAPH RD, REDFORD, MI 48239-3359
(313) 592-0038
Mailing address
46647 MAIDSTONE RD, CANTON, MI 48187-1468
(734) 262-1328

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XE1200X
Ergonomics Occupational Therapist
225XH1200X
Hand Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
03/07/2013
Last updated
03/07/2013
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