Individual
MS. MARY LYNNE KLEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT, CLT
Contact information
Practice address
3739 BALDWIN ST, HUDSONVILLE, MI 49426-9733
(616) 669-2734
(616) 669-2734
Mailing address
3739 BALDWIN ST, HUDSONVILLE, MI 49426-9733
(616) 669-2734
(616) 669-2734
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201001229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G00491
BCBSM
MI
05
—
1790157097
—
MI
Enumeration date
09/14/2015
Last updated
05/09/2017
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