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Individual

MRS. JANELLE CARISSA KLOSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
486 CENTURY LN STE 204, HOLLAND, MI 49423-4295
(360) 440-4531
Mailing address
336 WILDWOOD DR, HOLLAND, MI 49423-6921
(360) 440-4531

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13583
CA
225X00000X
Occupational Therapist
Primary
5201007200
MI
225X00000X
Occupational Therapist
OT00004506
WA

Other

Enumeration date
07/25/2008
Last updated
11/11/2024
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