Individual
KAITLYN GRACE MALBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9100 LAPEER RD, DAVISON, MI 48423-3620
(810) 653-0100
(810) 653-0133
Mailing address
3916 CHURCH RD, CASCO, MI 48064-1805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009671
MI
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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