Provider Demographics
NPI:1770027864
Name:GALUSZKA, CHELSEA MARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MARIE
Last Name:GALUSZKA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31275 PORTSIDE DR
Mailing Address - Street 2:APT 17302
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-4289
Mailing Address - Country:US
Mailing Address - Phone:810-623-9263
Mailing Address - Fax:
Practice Address - Street 1:31275 PORTSIDE DR
Practice Address - Street 2:APT 17302
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-4289
Practice Address - Country:US
Practice Address - Phone:810-623-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201009681225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health