Individual
CHELSEA DEKOEKKOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
851 PENNIMAN AVE, PLYMOUTH, MI 48170
(248) 349-9595
(989) 509-5965
Mailing address
851 PENNIMAN AVE, PLYMOUTH, MI 48170
(248) 349-9595
(989) 509-5965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008730
MI
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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