Individual
MS. KATHLEEN CAREY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 BRIARWOOD LN, FENTON, MI 48430-1831
(810) 629-9032
Mailing address
700 BRIARWOOD LN, FENTON, MI 48430-1831
(810) 629-9032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008409
MI
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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