Individual
KATRINA KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 WEST AVE, BIG RAPIDS, MI 49307-9274
(123) 179-3185
Mailing address
5581 17 MILE RD NE, CEDAR SPRINGS, MI 49319-9511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006106
MI
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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