Individual
KATHERINE DEVENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
2206 MITCHELL PARK DR, PETOSKEY, MI 49770-8674
(231) 348-7777
Mailing address
2206 MITCHELL PARK DR., PETOSKEY, MI 49770
(231) 348-7777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009288
MI
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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