Individual
MARYKELLY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 PARKLANE BLVD STE 200, DEARBORN, MI 48126-4221
(313) 846-2606
Mailing address
27085 GRATIOT AVE STE 101, ROSEVILLE, MI 48066-2984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010849
MI
Other
Enumeration date
09/28/2020
Last updated
02/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us