Individual
MS. KRISTEN MARIE PARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2080 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0247
(248) 972-0800
Mailing address
15243 EUCLID AVE, ALLEN PARK, MI 48101-2961
(313) 671-9705
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007956
MI
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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