Individual
KELLIE R CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2725 PACKARD ST, SUITE 101, ANN ARBOR, MI 48108-3318
(734) 677-0200
(734) 677-3310
Mailing address
2725 PACKARD ST, SUITE 101, ANN ARBOR, MI 48108-3318
(734) 677-0200
(734) 677-3310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201007359
MI
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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