MR. Richard Nathan Kornspan, OTR/L

NPI #1104037944 in Southgate, Michigan

Provider Information

NPI Number: 1104037944
Entity Type: Individual
Name: MR. Richard Nathan Kornspan, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: May 24, 2007
Last Updated: Dec 10, 2009

Practice Location

Address: 19401 NORTHLINE RD
City: Southgate
State: Michigan
ZIP Code: 48195-2277
Phone: (734) 785-7705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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