Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201003795 | MI |
NPI | 1003388059 |
---|---|
Provider Name | Kimberly Anne Orosz |
First Address | Grosse Pointe Woods, MI 48236-1048 |
Second Address | Grosse Pointe Woods, MI 48236-1048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2018 |
Last Update Date | 31/12/2018 |