Individual
KYLE HENIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Mailing address
44670 ANN ARBOR RD W STE 130, PLYMOUTH, MI 48170-4085
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
225XP0200X
Pediatric Occupational Therapist
Primary
5201012815
MI
Other
Enumeration date
05/29/2020
Last updated
04/22/2022
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