Individual
KRISTEN EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 STADIUM DR # 100, KALAMAZOO, MI 49009-3022
(800) 379-1600
Mailing address
7869 CLYDESDALE AVE, KALAMAZOO, MI 49009-5994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008459
MI
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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