Individual
KAITLYN LANDESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Mailing address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201013699
MI
225X00000X
Occupational Therapist
Primary
OTH-008184
AZ
Other
Enumeration date
09/24/2020
Last updated
06/04/2024
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