Individual
MRS. KELLY MARIE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
37620 FORD RD, WESTLAND, MI 48185-1924
(734) 722-5400
(734) 722-5454
Mailing address
37620 FORD RD, WESTLAND, MI 48185-1924
(734) 722-5400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005449
MI
Other
Enumeration date
11/13/2006
Last updated
01/20/2010
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