Individual
NICOLE KALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20217 PLEASANT ST, SAINT CLAIR SHORES, MI 48080-1005
(586) 214-5503
Mailing address
20217 PLEASANT ST, SAINT CLAIR SHORES, MI 48080-1005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201007434
—
MI
Enumeration date
04/12/2018
Last updated
04/12/2018
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