Individual
KATHLEEN BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
783 LAKE GEORGE TRL, TRAVERSE CITY, MI 49696-9457
(231) 421-1690
Mailing address
783 LAKE GEORGE TRL, TRAVERSE CITY, MI 49696-9457
(231) 421-1690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002737
MI
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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