Individual
KATHLEEN CHRISTINA HAMMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
10805 LASALLE BLVD, HUNTINGTON WOODS, MI 48070-1167
(248) 840-2472
Mailing address
10805 LASALLE BLVD, HUNTINGTON WOODS, MI 48070-1167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007396
MI
Other
Enumeration date
04/10/2018
Last updated
12/20/2020
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