Individual
GAIL SULKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 PINEFIELD AVE, PORTAGE, MI 49024-4902
(269) 568-8107
Mailing address
4717 PINEFIELD AVE, PORTAGE, MI 49024-3025
(269) 568-8107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008530
MI
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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