Individual
KELLY STOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(586) 250-9620
Mailing address
5635 SEABREEZE LN, STERLING HEIGHTS, MI 48310-7451
(248) 931-3932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009237
MI
Other
Enumeration date
04/25/2018
Last updated
06/21/2021
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