Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 5501005794 | MI |
NPI | 1396418117 |
---|---|
Provider Name | Renee M Przeslawski |
First Address | Oxford, MI 48371-4967 |
Second Address | Southfield, MI 48075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2021 |
Last Update Date | 28/07/2021 |