Individual
KATELYN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1055 CORNELL RD, FLETCHER BUILDING, YPSILANTI, MI 48197-1657
(734) 487-2890
(734) 485-2892
Mailing address
1055 CORNELL RD, FLETCHER BUILDING, YPSILANTI, MI 48197-1657
(734) 487-2890
(734) 485-2892
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201007984
MI
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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