Individual
KATHRYN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1663 STEPHENSON HWY, TROY, MI 48083-2169
(248) 327-6619
Mailing address
230 RIPLEY RD, LINDEN, MI 48451-9010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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