Organization
GUIDING LIGHT OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAITLYN LEIGH LANDESS OTD, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(586) 210-6787
Entity
Organization
Contact information
Practice address
5217 ANDRITHS AVE, WARREN, MI 48091-1212
(586) 210-6787
Mailing address
7408 HEATHERWOOD DR APT 2A, GRAND BLANC, MI 48439-7540
(623) 680-9681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/19/2024
Last updated
08/28/2024
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