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Individual

MS. ADITI TUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L, CHT, CLT

Contact information

Practice address
5659 STADIUM DR STE 1, KALAMAZOO, MI 49009-1932
(269) 375-9450
(269) 375-9465
Mailing address
1814 OAKLAND DR, KALAMAZOO, MI 49008-1854
(732) 516-8208

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007559
IL
225X00000X
Occupational Therapist
1070433
OR
225XH1200X
Hand Occupational Therapist
Primary
5201011268
MI

Other

Enumeration date
08/15/2008
Last updated
07/07/2021
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