Individual
KELLY GRACE TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
40500 ANN ARBOR RD E STE 200, PLYMOUTH, MI 48170-4483
(734) 369-6002
Mailing address
40500 ANN ARBOR RD E STE 200, PLYMOUTH, MI 48170-4483
(734) 369-6002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010938
MI
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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