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Individual

KATELYN HENEVELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5340 HOLIDAY TER STE 9, KALAMAZOO, MI 49009-2196
(810) 360-8161
Mailing address
5340 HOLIDAY TER, STE 9, KALAMAZOO, MI 49009-2196
(616) 260-1615

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009837
MI

Other

Enumeration date
08/17/2017
Last updated
10/18/2017
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