Individual
KALYN LEE JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
2159 WILDFIELD DR NE, GRAND RAPIDS, MI 49505-6323
(248) 884-1463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023011622
MO
225X00000X
Occupational Therapist
5201011116
MI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/11/2017
Last updated
03/30/2023
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