Provider Demographics
NPI:1992364756
Name:KOVACS, AURICA ROZALIA (MT)
Entity Type:Individual
Prefix:MS
First Name:AURICA
Middle Name:ROZALIA
Last Name:KOVACS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44125 WEST TWELVE MILE ROAD
Mailing Address - Street 2:E-123, BOX D7
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377
Mailing Address - Country:US
Mailing Address - Phone:248-471-9400
Mailing Address - Fax:248-465-6059
Practice Address - Street 1:44125 W 12 MILE RD STE E-123
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-1983
Practice Address - Country:US
Practice Address - Phone:248-471-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501000817225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist