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Contact Information

KIMBERLY BOZZO
7025 N LILLEY RD
CANTON, MI48187-3533
 Phone: 734-394-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIMBERLY BOZZO · (Female)

NPI Number 1154890515
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2018
Last updated 11/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5201007979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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