Individual
KAITLYN WOELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 LAPEER RD STE C, DAVISON, MI 48423-3620
(810) 653-0100
Mailing address
8200 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(810) 603-7008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009734
MI
Other
Enumeration date
02/15/2017
Last updated
05/30/2019
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