Individual
KATHERINE LEE GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Mailing address
1525 RIDGEWOOD DR, MIDLAND, MI 48642-6425
(989) 835-6333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201008137
STATE OF MICHIGAN
MI
Enumeration date
11/19/2012
Last updated
10/11/2024
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