Individual
MRS. PAMELA JEAN SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 674-5393
Mailing address
2500 MANN RD LOT 360, CLARKSTON, MI 48346-4291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005055
MI
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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