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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENYETTA CLARKE

Active Sole Proprietor

Occupational Therapy Assistant · GRAND BLANC, MI

Registration Details

NPI Number
1740610559
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2013 (12.433753467165 yrs)
Last Updated
Nov 14, 2013
License
5202007550 (MI)
Sole Proprietor
Yes

Practice Information

Address
8481 HOLLY RD
GRAND BLANC, MI, 484391812
Browse MI providers · Browse ZIP 48439
Phone
8106946382
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GRAND BLANC, MI

Name Credential NPI
MRS. JENNIFER J BALES 1669715777
MS. KIMBERLY R LAWSON COTA 1912347782
LINDA ROSEANNE HAYES COTAL 1659713105
SHAWN DELAND 1043614068
TAMMY LYNN HENSKI 1922573229
ILONA CROWDER COTA/L 1003440330
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.