Individual
KAYLEE ALIZABETH THWAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2020 WALDRON ST SW, WYOMING, MI 49519-2228
(616) 323-4437
Mailing address
2020 WALDRON ST SW, WYOMING, MI 49519-2228
(616) 323-4437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010137
MI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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