Individual
KELLY KONDRATKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15475 MIDDLEBELT RD, LIVONIA, MI 48154-3805
(734) 743-4000
Mailing address
1676 GLENSHIRE DR, CANTON, MI 48188-1178
(734) 673-0414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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