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Mikaela Bartush, OTR

Occupational Therapist in Grand Blanc, MI. Individual provider (NPI-1).

NPI number1265005243
StatusActive
Last updated in NPPESFeb 15, 2022

Details

NPI
1265005243
Entity type
Individual (NPI-1)
Name
Mikaela Bartush
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 19, 2021
Certification date
Feb 15, 2022
Last updated
Feb 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5201011313MIYes

Practice location

8447 Holly Rd
Grand Blanc, MI 48439-1888

Phone 810-603-8300

Mailing address

3495 S Center Rd
Burton, MI 48519-1455

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