Individual
KELLEY LYN KORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5061 VILLAGE COMMONS DR, WEST BLOOMFIELD, MI 48322-3382
(248) 804-3426
Mailing address
4419 ELDERBERRY DR, BRIGHTON, MI 48114-8621
(810) 599-1840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002047
MI
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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