Provider Demographics
NPI:1326735051
Name:MUSZYNSKI, CYNTHIA THERESE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:THERESE
Last Name:MUSZYNSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:CYNTHIA
Other - Middle Name:THERESE
Other - Last Name:ASHMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54885 AURORA PARK
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-6022
Mailing Address - Country:US
Mailing Address - Phone:248-207-9546
Mailing Address - Fax:
Practice Address - Street 1:23800 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3176
Practice Address - Country:US
Practice Address - Phone:248-827-1100
Practice Address - Fax:248-827-1120
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000166225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist