Individual
KAYLA NORTHUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27240 HAGGERTY RD, SUITE E15, FARMINGTON HILLS, MI 48331-5716
(866) 991-0900
Mailing address
904 S ROSELLE RD, SCHAUMBURG, IL 60193-3963
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011001
IL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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