Individual
PAULINE SUZANNE KAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8685
(734) 722-9524
Mailing address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003074
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002124
NATL CERTIFICATION
—
01
—
1508883299
WRPH
MI
01
—
5201003074
LICENSE
MI
01
—
OT 8947
LICENSE
FL
Enumeration date
08/09/2007
Last updated
04/16/2009
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