Individual
KELLY FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
601 E MAIN ST, HART, MI 49420-1144
(231) 873-3577
Mailing address
601 E MAIN ST, HART, MI 49420-1144
(231) 873-3577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008431
MI
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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