Individual
MRS. KELSEY DANIELLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1666
(269) 226-7000
Mailing address
1521 GULL RD, KALAMAZOO, MI 49048-1666
(269) 226-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009169
MI
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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