Individual
KELLY NICOLE URBANIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L/PTA, CNA
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Mailing address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5502002157
MI
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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