Individual
KATELYN PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 S GULLEY RD STE F, DEARBORN, MI 48124-4406
(734) 407-2500
(313) 792-8962
Mailing address
3101 S GULLEY RD STE F, DEARBORN, MI 48124-4406
(734) 407-2500
(313) 792-8962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009982
MI
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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