Individual
KYLE GEORGE MESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
210 DORI LN, LANSING, MI 48912-1572
(517) 348-0226
Mailing address
900 LONG BLVD APT 649, LANSING, MI 48911-6812
(989) 721-6488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010173
MI
226000000X
Recreational Therapist Assistant
5202010173
MI
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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