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1356927867
KELSEY SMITH
DETROIT, MI
NPI
1356927867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202008371)
Enumeration Date
2021-03-23
Last Update Date
2021-03-30
Business Address
KELSEY SMITH COTA/L
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2600
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Mailing Address
KELSEY SMITH COTA/L
2114 BAUMEY ST
WYANDOTTE, MI 48192-3034
Phone number: 313-378-9501
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