Kelsey L. Liddil OTRL
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Kelsey Lynn Liddil OTRL
NPI Number
1205333408
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/12/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201008743
Contact
Information
Purpose
Mailing
Location
Address
1095 MEDICAL PARK DR SE
1095 MEDICAL PARK DR SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49546-3685
49546-3685
Country
US
US
Telephone Number
N/A
(616) 588-9210
Identifiers
Identifier
5201008743
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/12/2018
Provider Address
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