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1689134389
KELSEY TYSICK
LOUISVILLE, KY
NPI
1689134389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202008199)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
KELSEY TYSICK COTA/L
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
KELSEY TYSICK COTA/L
3802 JONES RD
NORTH BRANCH, MI 48461-8930
Phone number: 810-969-5311
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