Individual
KELLEN JAMES CROOKS-SIMPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1501 SKYLINE DR, MONTEREY, CA 93940-4110
(616) 885-0888
Mailing address
19280 WAASA RD, HANCOCK, MI 49930-9647
(616) 885-0888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008722
MI
224Z00000X
Occupational Therapy Assistant
Primary
7210
CA
Other
Enumeration date
05/28/2024
Last updated
01/15/2026
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