Individual
KERIELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
24410 MIDDLEBELT RD, NEW BOSTON, MI 48164-9487
(734) 664-8180
(888) 304-2739
Mailing address
24410 MIDDLEBELT RD, NEW BOSTON, MI 48164-9487
(734) 664-8180
(888) 304-2739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009270
MI
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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