Individual
MRS. KATHLEEN LENORE SIMENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
50179 MARGARET AVE, MACOMB, MI 48044-6340
(586) 212-5859
Mailing address
50179 MARGARET AVE, MACOMB, MI 48044-6340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006759
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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