NPI 1124611470
Matt Jay Malec, CTRS
Practice location
- Address
- 7200 Challis Rd, Brighton, MI 48116-7411
- Phone
- (810) 227-0119
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1124611470
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Feb 2021
- Record last updated
- 18 Feb 2021
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.