Individual
COLLEEN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
16760 LINCOLN ST, GRAND HAVEN, MI 49417-8864
(616) 935-3300
(616) 935-3333
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201011066
STATE LICENSE
MI
Enumeration date
11/13/2020
Last updated
11/13/2020
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