Individual
KATELYN DANIELLE GUNDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1128
Mailing address
21370 DEERFIELD DR, WOODHAVEN, MI 48183-5205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009139
MI
Other
Enumeration date
03/06/2018
Last updated
03/23/2021
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