Individual
MRS. KELLY E MIHALTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30400 TELEGRAPH RD STE 334, BINGHAM FARMS, MI 48025-4573
(800) 379-1600
Mailing address
33064 MAPLENUT ST, FARMINGTON, MI 48336-4436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008941
MI
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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