Individual
LUCYNDA ANN KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
728 W WACKERLY ST, MIDLAND, MI 48640-4724
(989) 429-2726
Mailing address
3147 BURGESS RD, BEAVERTON, MI 48612-9701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003922
MI
Other
Enumeration date
02/03/2020
Last updated
02/06/2020
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