KELSEY BANACH

DETROIT, MI
NPI1669885018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201008857)
Enumeration Date2014-06-03
Last Update Date2014-06-03
Business Address
-- KELSEY BANACH OTR
15063 GRATIOT AVE
DETROIT, MI 48205-1332
Phone number: 313-372-4065
Mailing Address
-- KELSEY BANACH OTR
68050 HARTWAY RD
RAY, MI 48096-1433
Phone number: 586-623-2986
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