Individual
JYL KIRSTEN KEINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 CANDLESTICK LN, MIDLAND, MI 48642-3165
(989) 983-2222
Mailing address
2402 CRANBROOK DR, MIDLAND, MI 48642-3257
(989) 832-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007123
MI
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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