Individual
MICHELE RENE KYSER-LAFREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2934 MILLER DR, PLYMOUTH, IN 46563-8083
(574) 941-2200
Mailing address
12158 LUPINE LN, PLYMOUTH, IN 46563-7641
(574) 935-9357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000746A
IN
Other
Enumeration date
08/11/2006
Last updated
10/23/2007
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