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Organization
CHILDRENS THERAPY SHOP
Active
Organization
CHILDRENS THERAPY SHOP
Active
Other names
Childrens Therapy Shop
Organization subpart
No
Provider details
NPI number
Authorized official
KERIELLE LINNE SMITH OTR/L, MS, MA (OWNER/OCCUPATIONAL THERAPIST)
(734) 252-9958
Entity
Organization
Contact information
Practice address
24410 MIDDLEBELT RD., NEW BOSTON, MI 48164-9487
(734) 252-9167
(734) 252-9958
Mailing address
24410 MIDDLEBELT RD, NEW BOSTON, MI 48164-9487
(734) 664-8180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/19/2026
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