Individual
MS. KELSEY RAE WALUKONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 RED DR, TRAVERSE CITY, MI 49684-4465
(231) 922-7812
Mailing address
1101 RED DR, TRAVERSE CITY, MI 49684-4465
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008634
MI
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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