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Organization

CHILDRENS THERAPY SHOP

Active
Other names
Childrens Therapy Shop
Organization subpart
No

Provider details

NPI number
Authorized official
KERIELLE LINNE SMITH OTR/L, MS, MA (OWNER/OCCUPATIONAL THERAPIST)
(734) 252-9958
Entity
Organization

Contact information

Practice address
24410 MIDDLEBELT RD., NEW BOSTON, MI 48164-9487
(734) 252-9167
(734) 252-9958
Mailing address
24410 MIDDLEBELT RD, NEW BOSTON, MI 48164-9487
(734) 664-8180

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
08/21/2024
Last updated
01/06/2026
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