Ms. Mary Lynne Kleis
Occupational Therapist - Hand
3739 Baldwin St
Hudsonville
, Michigan 49426-9733
Ms. Mary Lynne Kleis
Occupational Therapist - Hand
3739 Baldwin St
Hudsonville
, Michigan 49426-9733
(616) 669-2734
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Ms. Mary Lynne Kleis
- 3739 Baldwin St
- Hudsonville, MI
- Zip : 49426-9733
- Fax : (616) 669-2734
- Phone : (616) 669-2734
Second Address
- Ms. Mary Lynne Kleis
- 3739 Baldwin St
- Hudsonville, MI
- Zip : 49426-9733
- Fax : (616) 669-2734
- Phone : (616) 669-2734
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Is Ms. Mary Lynne Kleis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 5201001229 | MI |
National Provider Identifier
| NPI | 1154799666 |
|---|---|
| Provider Name | Ms. Mary Lynne Kleis |
| First Address | Hudsonville, MI 49426-9733 |
| Second Address | Hudsonville, MI 49426-9733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2015 |
| Last Update Date | 09/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0G00491 | BCBSM (01) | MI |
| 1790157097 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.