Individual
KELLY SEELYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 W CENTRE AVE APT 118, PORTAGE, MI 49024-4664
(269) 207-3626
Mailing address
4024 W CENTRE AVE APT 118, PORTAGE, MI 49024-4664
(269) 207-3626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4702
AZ
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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