Individual
MRS. KRISTIN SUZANNE BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-1055
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495
(313) 745-1055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006837
MI
Other
Enumeration date
06/04/2018
Last updated
12/26/2024
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