Individual
KAITLIN O'MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 979-8118
Mailing address
25491 FOUNTAIN PARK DR W, APT. 323, NOVI, MI 48375-2561
(810) 429-3989
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
62670
MI
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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