Individual
KAY OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-4008
Mailing address
34505 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002513
MI
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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