Individual
KAYLA NICOLE MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 324-2012
Mailing address
2961 E HILLSIDE DR, MIDLAND, MI 48640-8539
(989) 284-2175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201011162
MI
Other
Enumeration date
03/23/2019
Last updated
02/20/2023
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