Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 520100183 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201001813 | MI |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201001813 | MI |
NPI | 1386976801 |
---|---|
Provider Name | Mrs. Kathryn Sue Klamert |
First Address | Clio, MI 48420 |
Second Address | Clio, MI 48420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |