Individual
KELLI DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5669 LAKESHORE RD, FORT GRATIOT, MI 48059-2817
(810) 385-7260
Mailing address
3316 SHOREWOOD AVE, FORT GRATIOT, MI 48059-3134
(810) 479-9424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003166
MI
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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