Individual
KAYLA MARIE TUBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Mailing address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013715
MI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/08/2017
Last updated
09/11/2025
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