Individual
MRS. KATHERINE LYNNE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5660
Mailing address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3916
SC
225X00000X
Occupational Therapist
Primary
5201008143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201008143
OTHER
MI
05
—
5201008143
—
MI
Enumeration date
02/01/2012
Last updated
03/17/2018
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