Individual
KATIE PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16523 S WATER TOWER DR, KINCHELOE, MI 49788-1592
(906) 495-4387
Mailing address
16523 S WATER TOWER DR, KINCHELOE, MI 49788-1592
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53012
MI
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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