Individual
REBECCA KALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
25546 DOGWOOD LN, NOVI, MI 48374-2160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007312
MI
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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