Kelli Abuan, OTR
Individual provider Active NPI Occupational Therapist · Holt, MI
NPI 1750879276 · NPPES record last updated Apr 30, 2018
Key facts
- NPI
- 1750879276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201001327 (MI)
- Practice address
- 5091 Willoughby Rd
Holt, MI 48842-1054 - Phone
- (517) 694-2144
- NPI assigned
- Apr 30, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201001327 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201001327 | MI | Yes |
Addresses
Primary practice location
5091 Willoughby Rd
Holt, MI 48842-1054
Mailing address
2048 Hamilton Rd
Okemos, MI 48864-2105
Phone (517) 410-7015
Other providers in Holt, MI
All providers in Holt, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.