Individual
MRS. KIRSTEN R MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTRL, CLT
Contact information
Practice address
97 S 4TH ST, SUITE B, ISHPEMING, MI 49849-2168
(906) 485-2775
(906) 486-1136
Mailing address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2679
(906) 485-2740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006003
MI
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
11/10/2010
Last updated
02/22/2018
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