Individual
STACI LYN KULHANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201
(313) 832-8870
Mailing address
133 W HILL ST, DAVISON, MI 48423-1121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009051
MI
Other
Enumeration date
02/25/2015
Last updated
06/13/2018
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