Individual
PADMAJA KETINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 MARSH RD, OKEMOS, MI 48864-1106
(517) 319-1383
Mailing address
5211 MARSH RD, OKEMOS, MI 48864-1106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006237
MI
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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