Individual
KIMBERLY JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 HOPKINS LAKE DR, LUDINGTON, MI 49431-9351
(231) 690-4220
(231) 316-6040
Mailing address
3925 HOPKINS LAKE DR, LUDINGTON, MI 49431-9351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10524
FL
225X00000X
Occupational Therapist
Primary
5201008151
MI
Other
Enumeration date
11/22/2014
Last updated
08/08/2016
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