Individual
MRS. JENNIFER KUDLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
3057 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-6521
Mailing address
3057 GULL RD, KALAMAZOO, MI 49048-1281
(269) 552-6521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006337
MI
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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