Individual
KATELYN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1332 PROSPECT AVE, CARO, MI 48723-9288
(989) 672-3147
Mailing address
323 N STATE ST, CARO, MI 48723-1537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008783
MI
Other
Enumeration date
06/13/2014
Last updated
01/26/2015
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