Katherine Louise Allard

Individual provider Active NPI Occupational Therapist · Niles, MI

NPI 1477024446 · NPPES record last updated Dec 16, 2018

Key facts

NPI
1477024446
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201000977 (MI)
Practice address
31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone
(269) 687-1419
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201000977MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201000977 MI Yes

Addresses

Primary practice location

31 N Saint Joseph Ave
Niles, MI 49120-2207

Mailing address

308 E Broadway St
Mishawaka, IN 46545-6637
Phone (269) 449-3179

Other providers in Niles, MI

All providers in Niles, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.