Individual
KELLY KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
714 N MAIN ST, MILFORD, MI 48381-1525
(248) 842-4152
Mailing address
714 N MAIN ST, MILFORD, MI 48381-1525
(248) 842-4152
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201004020
MI
Other
Enumeration date
09/30/2008
Last updated
02/25/2009
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