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Individual

MS. LAURA SUE KETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1907 ARLENE ST., ANN ARBOR, MI 48103-3517
(734) 996-1590
Mailing address
1907 ARLENE ST., ANN ARBOR, MI 48103-3517
(734) 996-1590

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003519
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201003519
STATE OT REG NO.
MI
Enumeration date
05/03/2007
Last updated
07/08/2007
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