Individual
MRS. KELLY MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11935 E MN AVE, CLIMAX, MI 49034-9721
(269) 267-7097
Mailing address
5770 N 24TH ST, KALAMAZOO, MI 49004-8684
(269) 267-7097
(269) 447-2191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006821
MI
225XL0004X
Low Vision Occupational Therapist
5201006821
MI
Other
Enumeration date
10/10/2011
Last updated
02/17/2017
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