Individual
KAILEY JEAN PRICE VII
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
243 WILEY RD, DOUGLAS, MI 49406-5108
(269) 857-2141
Mailing address
PO BOX 217, DOUGLAS, MI 49406-0217
(269) 857-2141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007785
MI
Other
Enumeration date
05/01/2018
Last updated
06/16/2018
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