Individual
KELSEY EVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
71150 ORCHARD CROSSING LN, ROMEO, MI 48065-3644
(586) 336-0102
Mailing address
44084 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1367
(586) 850-0799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009088
MI
Other
Enumeration date
11/08/2015
Last updated
03/18/2018
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