Individual
KELSEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
4240 CASS AVE APT 201, DETROIT, MI 48201-1970
(248) 885-6048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201009938
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
02/21/2018
Last updated
03/18/2021
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