Individual
KIMBERLY RENEE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-0004
Mailing address
15880 LAHSER RD, DETROIT, MI 48223-1150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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