Individual
MRS. KELLY JO STEPANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,CHT
Contact information
Practice address
245 CHERRY ST SE, SUITE 308, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
Mailing address
8636 24TH AVE, JENISON, MI 49428-9543
(616) 745-4722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201003107
MI
Other
Enumeration date
05/19/2006
Last updated
08/08/2014
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