Individual
KIMBERLY ROSE TEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14900 SHORELINE DR, STERLING HEIGHTS, MI 48313-2251
(586) 247-4700
Mailing address
19203 PORTER DR, CLINTON TOWNSHIP, MI 48038-3087
(586) 883-2911
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
52027479
MI
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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