Individual
KATHRYN CLAYPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 PINECREEK DR, FENTON, MI 48430-1978
(248) 229-5731
Mailing address
33533 W 12 MILE RD STE 290, FARMINGTON HILLS, MI 48331-5635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002156
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201002156
—
MI
Enumeration date
04/09/2018
Last updated
04/09/2018
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