NPI 1104037944
Richard Nathan Kornspan, OTRL
Practice location
- Address
- 19401 Northline Rd, Southgate, MI 48195-2277
- Phone
- (734) 785-7705
- Mailing address
- 35986 Fair Oaks CT, Farmington Hills, MI 48331-3118
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1104037944
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 May 2007
- Record last updated
- 10 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.