Individual
KELLY ANN LEDUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19100 ROSEWOOD DR, MACOMB, MI 48042-4217
(586) 207-1114
Mailing address
19100 ROSEWOOD DR, MACOMB, MI 48042-4217
(586) 207-1114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L689619
MI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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