Individual
KATHLEEN SUE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1728 S PENINSULA RD, EAST JORDAN, MI 49727-9410
(231) 535-2286
(231) 536-2476
Mailing address
565 N ADVANCE RD, EAST JORDAN, MI 49727-8615
(586) 668-0096
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201000298
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201000298
OTR MICHIGAN STATE LICENSE
MI
Enumeration date
03/20/2018
Last updated
03/20/2018
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