Individual
KYLE MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
455 BOSTON POST RD, DARIEN, CT 06820-3614
(203) 424-2584
Mailing address
40 LAKEVIEW DR, MILFORD, CT 06460-2812
(203) 878-1810
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5179
CT
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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