Individual
KAITLYN T CANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
G3201 BEECHER RD, FLINT, MI 48532-3615
(810) 732-9200
Mailing address
1149 HOLLY SPRING LN, GRAND BLANC, MI 48439-8955
(810) 429-0265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007781
MI
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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