Individual
KAITLYN LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8491 W GRAND RIVER AVE STE 600, BRIGHTON, MI 48116-4359
(810) 225-1187
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501021605
MI
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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