Individual
KELLEY-BETH TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3310 W COMMERCE RD, MILFORD, MI 48380-3100
(248) 685-1400
Mailing address
216 HARRISON ST APT 103, CHELSEA, MI 48118-1068
(734) 395-2969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008394
MI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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